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HEALcare® Initial Health Assessment

Takes just five minutes to complete. There’s no cost or obligation.

Completing this brief Initial Health Assessment is the first step on the path to better health and weight loss. The information in this assessment will be kept strictly confidential and will be reviewed by a HEALcare Clinical Practitioner for the sole purpose of recommending the best HEALcare level of service for you. Submitting this assessment is at no cost to you and does not commit you to enroll in HEALcare. We will respond to you within two to five working days. Learn more about HEALcare enrollment, or contact us if you have additional questions.

Initial Health Assessment

Measurements (in inches):

Medical History:

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