Weighing Request Sheet

The weighing request sheet is a form you can print and fill out in advance of medical appointments to bring to your medical provider. It provides options for being weighed such as being weighed without looking at the numbers, not being weighed at all, and/or not discussing weight or intentional weight loss during the session.

Weight changes can be symptoms of health concerns. We encourage you to share with your health professionals if you’ve noticed clothes fitting differently or appetite changes regardless of your decision to be weighed or not.