Weight, Wisdom, & Wellness

with Dr. Jennifer Schmidt

Weight, Wisdom, & Wellness

New Patient Forms and Information


If you are a new patient to this practice, please print the following pages in advance of your visit.
Cosmetic Services:
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1) BOTOX Information
2) Juvederm Information
3) New Cosmetic Patient Medical History Form
New Patient Forms:
1) Medical Symptoms Questionnaire
2) Consent for Medical Treatment
3) New Patient Medical History
4) Record Release
5) Nutrition History