New Client Paperwork

Toledo Men's and Weight Loss Clinic offers our form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

  • (Edit as Needed PDF Form) New Patient Registration Form

    Click to Download

  • (Edit as Needed PDF Form) New Female Patient Registration Form

    Click to Download

  • (Edit as Needed PDF Form) New Male Patient Registration Form

    Click to Download

  • (Edit as Needed PDF Form) Pediatric Patient Registration Form

    Click to Download

  • (Edit as Needed PDF Form) Auto Injury Patient Paperwork

    Click to Download

  • (Edit as Needed Online Form) Review of Symptoms

    Click to Complete

  • (Edit as Needed Online Form) Patient History

    Click to Complete

OFFICE HOURS

Monday
By Appointment Only

Tuesday
14:00 - 18:00

Wednesday
14:00 - 18:00

Thursday
Closed

Friday
14:00 - 18:00

Saturday
By Appointment Only

Sunday
Closed

Toledo Men's and Weight Loss Clinic

5660 Monroe St # 9
Sylvania, OH 43560

(567) 429-9381