Optimal Weight Loss Institute

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Doctor writing prescription form while sitting at glass desk in hospital

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× Personalized Health Profile Personalized Health Profile $100.00
$100.00
× Patient Medical History Form Patient Medical History Form $100.00
$100.00
× Medical Weight Loss Program Intake Form Medical Weight Loss Program Intake Form $100.00
$100.00
× Intravenous-IV-Infusion Intravenous (IV) Infusion Therapy Consent Form $50.00
$50.00
× Neurotoxin Informed Consent Neurotoxin Informed Consent $50.00
$50.00
× Platelet Rich Plasma - Fibrin Matrix Informed Consent Platelet Rich Plasma / Fibrin Matrix Informed Consent $50.00
$50.00
× Mesotherapy - Lipo-Dissolve Patient Informed Consent Mesotherapy / Lipo-Dissolve Patient Informed Consent $50.00
$50.00

Cart totals

Subtotal $500.00
Tax $0.00
Total $500.00
Proceed to checkout