Supervised Medical Weight Loss

See if you Qualify to get started

Contact Details

To see if you qualify for a supervised medical weight loss program, Let's get some contact details.

First Name *

Last Name *

Phone *

Email Address *

Address

Let's make sure we can offer our services at your location.

Address *

City *

State *

Postal Code *

Health Details

Is a medical weight loss program right for you? The information below is used to calculate your BMI, estimated body fat percentage, and other factors.

Date of Birth *

Sex *

Male

Female

Height (Feet) *

Height (Inches) *

Weight *

BMI

BFP

Do you have any history of the following medical conditions?

Any history of cancer

Pancreatitis

Type 1 diabetes

Currently pregnant or breastfeeding

Select all that apply.

Qualified

Yes

No

After your consultation, would you prefer an in-clinic or telehealth program? *

Are you interested in learning more about our financing options? *

I agree to the Terms and Conditions, and the Consultation and Medication Consent.

Prescription products require an online consultation with a weight loss specialist. Some products offered are compounded products and have not been approved by the FDA. The FDA does not verify the safety or effectiveness of compounded drugs.

Contact

14 South Baltic Place

Meridian, Idaho 83642

(208) 565-2345

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