Prevention Specialists, Ltd.

Patient Resources

Before Your Visit

Forms to download and fill out

Before your Comprehensive Physical Examination with Dr. Weisberg, kindly download and complete the attached forms and bring them with you to your appointment. This will help Dr. Weisberg better understand everything he needs to know about you, so that you can receive the most comprehensive care possible. This will help you fully understand your obligations as a patient as well.

Please complete these forms in their entirety and bring them with you to your pre-physical laboratory visit.

• Patient Information Sheet
• Complete Physical Questionnaire
• Medical Services and Fees

If you have any questions regarding any of these forms, please call the office at 847-793-9800 and ask one of the PSL staff for assistance.