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Please print the following forms, fill them out completely and either email them to info@gerberchiro.com or fax them to 518-793-5551.

  • Physician Consent Form
  • Health Profile

Consult your physician or health care professional before starting any weight loss program.

LiveWell ADK, Inc. is Authorized to Use the The Gerber Diet Weight Loss Protocol and Products. The testimonials on this website are those of the individual that is identified, you should not necessarily expect to receive these results. Typical results vary from person to person and individual to individual when The Gerber Diet’s Weight Loss Protocol is followed properly. You should consult your physician or other health care professional before starting this or any other diet program to determine if it is right for your needs.


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12 Haviland Road,  Queensbury, NY 12804   (518) 793-5555
  • Home
  • About Us
    • Our Clinic
    • Testimonials
  • The Gerber Diet
    • The Protocol
    • Products
    • Recipes
    • Keto Diets
  • Healthy Education
  • Contact Us
  • Forms
  • FAQ