University of Michigan Health System

Department of Internal Medicine: Division of Metabolism, Endocrinology & Diabetes (MEND)

WEIGHT MANAGEMENT PROGRAM HOME Principles of the Clinic Overview of the Program Instructions and Required Forms Our Care Team Contact Us

Weight Management Program

Instructions and Required Forms

Patient Letter

New Patient Information

Complete and bring these forms to your first visit:

Initial Evaluation Form

Physical Activity Questionnaire

Impact of Weight on Quality of Life

EQ-5D Health Questionnaire

Inventory of Depressive Symptomatology

Consent Form (review and bring, but do not sign)

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