Patient Information

Our patient information includes the forms you will need to print & fill out, as well as our pricing.


These patient information forms include new patient medical history, medication and allergies and a medical history review of systems. Please print and fill out these forms when you come in for your first visit. If you have any questions, or if you need clarification on a question, give us a call or ask us when you stop in.

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This pricing information will inform you of the cost of your initial visit, your first follow-up visit and any additional follow-ups. We also offer discounts to the military, referred patients, family members of patients and more. Please do not hesitate to contact us if you have any questions about pricing. Be sure to check out our promotions page for discounts.

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*Individual results may vary; not a guarantee.

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We make it easy! Call us at (360) 626-1166 or request an appointment below.

As a fellow health care provider in Kitsap County, Kitsap Medical Weight Loss has provided me with a resource to give my patients who want/ need to lose weight to improve their health. This is the real deal. Eat real food, learn about healthy, attainable lifestyle changes and get lots of support from a team that celebrates every lost pound with you. I have seen my patients be able to stop their diabetes medication, improve their ability to complete activities of daily living and return to active lifestyles that include travel and athletic pursuits and the best part, keep the weight off. If you have thought about trying to get healthy, this is the place to start and so much less expensive than 30/10 weight loss, Ideal protein, Jenny Craig and Nutrisystem.*

- Melissa T.

*Individual results may vary; not a guarantee.


We're happy to answer any questions you may have, feel free to call us at
(360) 626-1166