New Patient Paperwork

Restoration Wellness Custom Fat Loss offers our patient 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
9:00am - 1:00pm
2:00pm - 6:00pm


Tuesday
10:00am - 1:00pm
3:00pm - 7:00pm


Wednesday
9:00am - 1:00pm
2:00pm - 5:00pm


Thursday
10:00am - 1:00pm
3:00pm - 7:00pm


Friday
9:00am - 3:00pm


Saturday
Closed

Restoration Wellness Custom Fat Loss
4901 Libbie Mill East Boulevard Suite 130
Richmond, VA 23230
(804) 447-8005

"One of the best decisions I've made. I was skeptical at first but stuck to the plan and was amazed with the results. I'm even more impressed that I've been able to keep the weight off of 4 weeks now."

« Joe G. »

"I loved this program. It gave me hope that I can continue to lose weight and be healthy. I truly am grateful that I was able to experience something so amazing that really works."

« Ceylan »

"I loved the program!! I feel good, look great and it didn't take long to lose the unwanted weight!! I am very happy with the results! Thank you Dr. Matt"

« Eleanor L. »

Restoration Wellness Custom Fat Loss - Richmond
4901 Libbie Mill East Boulevard Suite 130
Richmond, VA 23230
(804) 447-8005

COPYRIGHT © 2018 INCEPTION WEBSITES

*Although results may vary, those who follow the program have an extremely high success rate. Restoration Wellness' goal is at least 20 pounds of weight loss by the end of your entire program. If you kept all of your appointments and followed the system as detailed by our team and in your journal but did not lose at least 20 pounds, you will have your program extended and our staff will continue to coach and support you until the total weight loss reaches 20 pounds, at no additional cost to you for necessary materials, supplements, or time in office.

(804) 447-8005
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