Weight Loss Consultant
Dale Capela

New Client Paperwork

Living Well offers our client form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
8:00am - 12:00pm
2:30pm - 5:00pm


Tuesday
1:30pm - 5:00pm


Wednesday
9:00am - 12:00pm
1:00pm - 6:00pm


Thursday
CLOSED


Friday
8:00am - 12:00pm


Saturday
Closed

Living Well
5225 Cleveland Road Suite F
Wooster, OH 44691
(330) 967-0605

* Although results may vary, those who follow the program have an extremely high success rate. Living Well guarantees at least 20 pounds of weight loss by the end of your entire program. If you do not lose at least 20 pounds and kept all of your appointments, fully kept your journal, followed the system as detailed in your manual, and can show that, then you will have your program extended until the total weight loss reaches 20 pounds with all associated costs paid by Living Well