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A New Image Weight Loss Clinic & Salon Services 

Committed to your good health.

Fill out these forms and bring with you to your appointment

Health History.pdf (PDF — 550 KB)

Consent for Treatment.pdf (PDF — 139 KB)

Notice of Privacy Practices.pdf (PDF — 71 KB)

HIPPA Consent Form - A New Image.pdf (PDF — 47 KB)


A New Image Weight Loss Clinic & Spa Inc. | [email protected] | 125 Carter St Roan Mountain, TN 37687 , TN , 37687 USA | Phone 4237720202 

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