Patient Forms

Please Thoroughly Read All the Information on This Page

Prior to your visit, please use the following links to fill out these forms that will provide the needed information about your health history for your visit. The forms are formatted in ShareFile and will provide you the opportunity to fill them out electronically and submit them immediately upon completion.

Upon your submission, you must verify your identity by accessing your email and clicking 'Confirm Document' within a ShareFile 'Confirmation Email,' otherwise Optimal Family Chiropractic, LLC, will not receive the submission and you will NOT been seen by the doctor.

*All weight loss patients will complete 2 FORMS required for your visit. Please carefully read each section to fill out the appropriate forms*

Form #1

If you are a New Patient who has scheduled their first appointment with Mt. Olive Weight Loss, LLC, please begin by completing the Welcome/Intake Form regardless of the program(s) you are looking to participate in:

• Welcome/Intake Form

Form #2

Next, please complete the Patient Consent Form that applies to the program(s) you are looking to participate in.

If you are looking to participate in Both the Doctor Supervised Weight Loss Program and Contour Light Body Sculpting Therapy please complete the following form:

• Doctor Supervised Weight Loss and Contour Light Patient Consent Form

If you are looking to participate in Only the Doctor Supervised Weight Loss Program please complete the following form:

• Doctor Supervised Weight Loss Patient Consent Form

If you are looking to participate in Only the Contour Light Body Sculpting Therapy please complete the following form:

• Contour Light Patient Consent Form