GLP-1 Intake Form Templates for Weight Loss Clinics
A good intake form does two quiet jobs at once: it captures the history you need before a GLP-1 consult, and it makes a new patient feel organised and cared for from the first minute. These GLP-1 intake form templates give your front desk a clean, editable starting point so you are not rebuilding a form in a word processor between appointments.
These are editable starting templates, not legal or medical documents. Your clinic is responsible for reviewing and adapting each one with its own legal and clinical governance before use. GLP-1 Living provides design templates only and gives no medical or legal advice.
What a GLP-1 intake form usually covers
Most weight loss clinics gather the same core information at intake: contact and emergency details, current medications and supplements, relevant medical and weight history, goals, and consent to communicate. Our templates lay this out in a logical order with room for your own fields, so the form matches how your practice actually runs its GLP-1 program rather than a generic download.
Editable, branded, and quick to hand out
Every template is editable in Canva and printable as a PDF. Put your logo, colours and clinic name in once, then print for the waiting room or share a fillable link. Because it is a starting point and not a fixed document, you can add or remove questions to fit your intake flow and your state's requirements.
Pairs with consent and follow-up
Intake rarely travels alone. The bundles below include matching consent and follow-up material so the whole front-desk journey looks like one practice, not five different downloads. See the consent form templates for the signature side of the same visit.
Templates for this
Questions
- Are these GLP-1 intake forms editable?
- Yes. They open in Canva and export to PDF. You can change wording, add or remove questions, and brand them with your own logo and colours.
- Can I print them or use them online?
- Both. Print them for the waiting room, or share the file as a fillable link. The layout is designed for US Letter and A4.
- Do these replace a legal or medical document?
- No. They are starting templates. Your clinic is responsible for reviewing and adapting every form with its own legal and clinical oversight before use.