Scanned Document - Sasse Surgical Associates · 2019-04-12 · Fit for Life Have you participated in a Physician/Medically Supervised Weight loss Program? Have you ever used medication

Page 1 <img data-url='document/scanned-document-sasse-surgical-associates-2019-04-12-fit-for-life-have-you.html?page=1' data-page='1' class='cut-thumb lazyload' alt='Page 1: Scanned Document - Sasse Surgical Associates · 2019-04-12 · Fit for Life Have you participated in a Physician/Medically Supervised Weight loss Program? Have you ever used medication' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022060516/5f9065e4f0dc5b5d360278b4/html5/thumbnails/1.jpg' width='140' height='200' /> Page 2 <img data-url='document/scanned-document-sasse-surgical-associates-2019-04-12-fit-for-life-have-you.html?page=2' data-page='2' class='cut-thumb lazyload' alt='Page 2: Scanned Document - Sasse Surgical Associates · 2019-04-12 · Fit for Life Have you participated in a Physician/Medically Supervised Weight loss Program? Have you ever used medication' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022060516/5f9065e4f0dc5b5d360278b4/html5/thumbnails/2.jpg' width='140' height='200' /> Page 3 <img data-url='document/scanned-document-sasse-surgical-associates-2019-04-12-fit-for-life-have-you.html?page=3' data-page='3' class='cut-thumb lazyload' alt='Page 3: Scanned Document - Sasse Surgical Associates · 2019-04-12 · Fit for Life Have you participated in a Physician/Medically Supervised Weight loss Program? Have you ever used medication' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022060516/5f9065e4f0dc5b5d360278b4/html5/thumbnails/3.jpg' width='140' height='200' /> Page 4 <img data-url='document/scanned-document-sasse-surgical-associates-2019-04-12-fit-for-life-have-you.html?page=4' data-page='4' class='cut-thumb lazyload' alt='Page 4: Scanned Document - Sasse Surgical Associates · 2019-04-12 · Fit for Life Have you participated in a Physician/Medically Supervised Weight loss Program? Have you ever used medication' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022060516/5f9065e4f0dc5b5d360278b4/html5/thumbnails/4.jpg' width='140' height='200' /> Page 5 <img data-url='document/scanned-document-sasse-surgical-associates-2019-04-12-fit-for-life-have-you.html?page=5' data-page='5' class='cut-thumb lazyload' alt='Page 5: Scanned Document - Sasse Surgical Associates · 2019-04-12 · Fit for Life Have you participated in a Physician/Medically Supervised Weight loss Program? Have you ever used medication' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022060516/5f9065e4f0dc5b5d360278b4/html5/thumbnails/5.jpg' width='140' height='200' /> Page 6 <img data-url='document/scanned-document-sasse-surgical-associates-2019-04-12-fit-for-life-have-you.html?page=6' data-page='6' class='cut-thumb lazyload' alt='Page 6: Scanned Document - Sasse Surgical Associates · 2019-04-12 · Fit for Life Have you participated in a Physician/Medically Supervised Weight loss Program? Have you ever used medication' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader033.cupdf.com/reader033/viewer/2022060516/5f9065e4f0dc5b5d360278b4/html5/thumbnails/6.jpg' width='140' height='200' /> Page 7 <img data-url='document/scanned-document-sasse-surgical-associates-2019-04-12-fit-for-life-have-you.html?page=7' data-page='7' class='cut-thumb lazyload' alt='Page 7: Scanned Document - Sasse Surgical Associates · 2019-04-12 · Fit for Life Have you participated in a Physician/Medically Supervised Weight loss Program? 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Scanned Document - Sasse Surgical Associates · 2019-04-12 · Fit for Life Have you participated in a Physician/Medically Supervised Weight loss Program? Have you ever used medication

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