Physical Medicine Health Questionnaire

The Weight Loss Questionnaire

Privacy Policy

The Physical Medicine Health Questionnaire is intended to help you convey your opinion regarding your overall health and specific conditions that prompted your visit.

Our Weight Loss Questionnaire includes a general overview of your contact information, reason for your visit as well as a brief medical history which will assist our medical professionals in expediting the best and treatment for your particular condition.

Scott Medical Center’s Privacy Practices document details our policies relating to patient privacy. This is for your personal records and is not required to bring to your initial appointment. If you have any questions regarding our Privacy Practices, please feel free to contact us.