(732) 659-6650 - North Brunswick Office   |   (813) 533-0020 - Tampa Office

Jersey Medical Weight Loss

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Forms

  • Adult Patient Face sheet
  • Appointment Booking Agreement
  • Telemedicine Consent Form
  • Adult Weight Loss Questionnaire
  • Medical Record Release Authorization Form
  • Notice of Privacy Practices
  • Pediatric Face sheet
  • Pediatric Weight Loss Questionnaire
  • Appetite Suppressant Informed Consent
  • JMWL Weight Loss Agreement
  • Informed Consent for JMWL Weight Loss Program

Visit Us

Our goal is for you to leave our office with a memorable and enjoyable experience, which is why our welcoming and compassionate staff will do everything they can to make you feel right at home.

  • (732) 659-6650

  • Tampa Office

    5381 Primrose Lake Circle, Tampa, FL 33647

  • North Brunswick Office

    2186 Route 27, Suite 1B North Brunswick, NJ 08902

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Appointments

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Appointment

Office Hours

Tampa Office
Monday: 12:00PM – 3:00PM
Tuesday: 8:00AM – 3:00PM
Wednesday: 8:00AM – 3:00PM
Thursday: 8:00AM – 3:00PM
Friday: 12:00PM – 3:00PM
Saturday: Closed
Sunday: Closed
Televisit option available.

North Brunswick Office
Monday: 7:30 am – 3:00 pm
Tuesday: 7:30 am – 1:00 pm
(For Televisits Only)
Wednesday: 7:30 am – 3:00 pm
Thursday: 7:30 am – 3:00 pm
Friday: 7:30 am – 3:00 pm
Saturday: 7:30 am – 1:00 pm
Sunday: Closed

Contact Us

Tampa Office: 5381 Primrose Lake Circle,
Tampa, FL 33647
Phone: (813) 533-0020

North Brunswick Office: 2186 Route 27, Suite 1B
North Brunswick, NJ 08902

Phone: (732) 659-6650

Email: office@jerseymedweightloss.com

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