New Patient Paperwork

Utah Patients

  1. Schedule an appointment with Kathryn either by calling (801) 272-1246 or by sending a message from our Contact Page.

  2. Click on either "male" or "female" to download and print the paperwork:
    Female - New Patient Paperwork
    Male - New Patient Paperwork
  3. Fill out the paperwork completely before your appointment.
  4. If you have scheduled a face-to-face appointment, please bring the paperwork with you. If you live out-of-state and/or prefer to schedule a phone consult, scan and Email your forms to: OR use USPS and mail the paperwork to: 

Weight Loss and Natural Hormone Balancing Clinic
2003 Stoneleigh Drive
Draper, UT 84020