Please fill out the health form below. This will need to be completely filled out and submitted before we send the HCG.

 

 

HCG Diet Questionnaire


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How did you find out about HCGDiettips.com?

Before starting any diet or exercise program, you must consult your primary physician. You will receive a phone call from our doctor. He is a consulting physician working in concert with your primary physician on your weight loss program. Please fax any recent physical/records to (800) 905-7112.

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