Weight Management: OPTIFAST® - Online Orders
This form is intended for use only by current patients of the Weight Management Center in Winston-Salem, NC.
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 7 days worth of product and must weigh-in at the Weight Management Center to pick up your product.
All product orders should be checked by the client as we cannot exchange product once it leaves the Weight Management Center Nutrition Shop.
If you prefer, you may also print out the order form and bring it with you. [PDF] You may also take this opportunity to print the Optifast Weekly Clinic Visit Questionnaire.
(Please click the Submit Form button only once.)