New Diet Patient Forms

If you are a new diet patient, please download, print, and fill out these forms for your first appointment.

Diet Health History

Diet Demo

Consent to Diet Treatment

Consent to Photograph

Request an Appointment

Select medical, weight loss or body sculpting below to submit your appointment request and a Kohn Medical and Weight Loss representative will reach out to get in touch with you as soon as possible. Or call us now at 702-487-6500.

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We're happy to answer any questions you may have, feel free to call us at
(805) 449-8781