Medical Weight Management Telemedicine Enrollment Form

Streamline Your Medical Weight Management Practice with Paperform

Managing a telemedicine weight management program requires gathering detailed patient information, screening for medication eligibility, and coordinating virtual care—all while creating a supportive, professional first impression. This Medical Weight Management Telemedicine Enrollment Form is designed specifically for healthcare providers, wellness clinics, and telehealth platforms offering medically supervised weight loss programs.

Built for Virtual Weight Management Workflows

This template captures everything you need to onboard new patients into your weight management program: comprehensive medical history, current medications, lifestyle habits, virtual visit preferences, technology connectivity (smart scales and health apps), medication eligibility screening, and coaching package selection. The form uses conditional logic to tailor questions based on patient responses, ensuring you collect relevant information without overwhelming new enrollees.

Paperform's flexible design lets you brand the form to match your practice, embed it directly on your website, or share it as a standalone landing page. With HIPAA-compliant integrations available through partners like Stepper (stepper.io), you can securely route submissions to your EHR system, schedule initial consultations, and trigger automated welcome sequences—all without manual data entry.

Automate Patient Onboarding with Stepper

Once a patient submits their enrollment form, Stepper can automatically create their profile in your practice management system, send personalized welcome emails with app setup instructions, schedule their first virtual visit, and notify your care team of any medication eligibility flags. This means your clinical staff can focus on patient care rather than administrative tasks, while new patients experience a seamless, professional onboarding journey.

Designed for Healthcare Providers and Wellness Practices

Whether you're a primary care physician expanding into weight management, a specialized obesity medicine practice, or a wellness clinic offering comprehensive lifestyle programs, this template gives you a professional, compliant foundation for virtual patient intake. Join over 500,000 teams worldwide who trust Paperform's SOC 2 Type II certified platform to handle sensitive patient information securely and professionally.