Employer Forms

Service Agreement
OMP Authorization Form

OMP Authorization Form (PDF)

Patient Forms

Consent for Services
OSHA Respirator Questionnaire

Call to Schedule an Appointment

Mon – Fri: 8:00am – 5:00pm

*Weight Loss hours may vary

Call 812.271.4240

1714 Charlestown New Albany Road,
Jeffersonville, IN 47130

Contact Us