Private Weight Loss Registration

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  • Once you make this payment complete the second half of the form that asks details about your lifestyle problem. All information is confidential and only seen by Dr. Smith.
  • WE DO NOT SEE OR RETAIN CREDIT CARD INFORMATION!

Special Offer: Weight Loss Recordings (1) $19.95 (2) $35.00

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WEIGHT LOSS

PAIN & MIGRAINE

STOP SMOKING

ANXIETY & DEPRESSION

ALCOHOL & DRUGS

GAMBLING