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Home > Locations > Duke Primary Care Peak Weight Loss Clinic - Apex > Location Details > Forms
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Duke Primary Care Peak Weight Loss Clinic - Apex
Location Details
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New Client Forms


During your initial consultation, we will review our new client forms with you and discuss any questions you have. You will be able to take the forms with you to complete and bring back during your next visit. The forms and information are also provide below for your reference.

  1. Patient Information
  2. Medical History
  3. 12 Reasons – Why I Want to Reach My Goal Weight
  4. Consumer Bill of Rights

Program Consent and Commitment Forms

  1. OPTIFAST® Commitment Statement
  2. OPTIFAST® Informed Consent with Addendum
  3. PeakLife Commitment Statement
  4. Program Consent
  5. Appetite Suppressants – Informed Consent
  6. Duke Initial Medical Packet

OPTIFAST® Weight-Loss Class Schedule
The OPTIFAST® program includes a 12-week series of weight-loss classes taught by our highly trained registered dietitians. The classes will prepare you for initial, as well as long-term success, by providing the behavioral and nutritional information you need. In the classes, you'll learn about everything from healthy body image to emotional eating to choosing proper protein sources and more.

Class Schedule

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About This Page

Updated: Dec. 21, 2012
Published: Dec. 21, 2012
URL: http://www.dukehealth.org/locations/duke-primary-care-peak-weight-loss-clinic-apex/location_details/forms