OPTIFAST Online Orders for Current Patients

This form is intended for use only by current patients of the Weight Management Center in either the Winston-Salem, Greensboro or High Point locations.

Please enter the amount of each product you would like to order; this should be based on an individual serving (i.e., 1 packet instead of 1 box).

You will need to order a 7 day supply of product and must weigh-in at the Weight Management Center to pick up your product.

PLEASE ORDER AT LEAST 12 HOURS PRIOR TO PICKUP TO ALLOW FOR PROCESSING.

All product orders should be checked by the client as we cannot exchange product once it leaves the Weight Management Center Nutrition Shop.

By Design OPTIFAST® Product Order Form WMC Country Club location only
OPTIFAST 800 - Ready to drink
OPTIFAST 800 - Powder
OPTIFAST 800 - Soup
OPTIFAST HP - Powder
OPTIFAST 800 - Bar
OPTIFAST HP - Ready to Drink
Beneprotein
Please tell us when you will be picking up your order.
Please do not type in date, use pop-up calendar or form will not submit