Schedule Your Semaglutide Weight Loss Appointment Online

PRESENTLY SERVING SEMAGLUTIDE IN CALIFORNIA NEW YORK NEVADA WASHINGTON NEBRASKA ARIZONA COLORADO PENNSYLVANIA AND MASSACHUSETTS

Select State

Select state as per your location

Choose Appointment Date

Select a Medical Staff and Choose an appointment Date

Fill Your Detail

Fill all of your personal details along with Vital Info

Select State as per your location
1. Select Medical Staff
2. Choose an appointment Date
Fill Your details along with Vital Info

Select Staff and choose date

April, 2, 2018 Sunday

Please click the calendar icon to view selected date appointment.

First Month of Semaglutide
(4 Shots $313.99 Including Shipping)

Available Slots For Semaglutide

Sorry! Please select another date use

< >
OR

confirm appointment

Note: Your Full Name and Date of Birth must match your Driving License

First Month (4 Shots)
($313.99 including shipping)

First Name

Last Name

Phone No.

State

Gender

Date of Birth^{YYYY-MM-DD(Year-Month-Date)}

Address

Note: Only residents of New York AND Nevada will be shipped and all others will be rejected automatically.(Colorado,Nebraska And California Coming Soon)

City

ZIP

Age^{Please Select Date of Birth}

Weight(In lb)

Height(In Feet)

B.M.I

Provide Blood Pressure Top

& Blood Pressure Bottom

How much weight would you like to loose?

Do you have type2 Diabetes?

Any Other medical condition (Please explain):

Please list any drug allergies:

Current medications:

Common Side Effects: You may experience side effects like nausea, burping, and gastrointestinal discomfort. These can often be managed by staying hydrated and making dietary adjustments.

Arbitration Agreement I have read and agree

Telemedicine Consent Form I have read and agree

Semaglutide Consent I have read and agree

I hereby certify that i can only be prescribed Semaglutide or Phentermine one medication at a time.

Signature (please use your mouse to sign):

Note:- You must need to select State and Appointment time to submit

PRESENTLY SERVING SEMAGLUTIDE IN CALIFORNIA NEW YORK NEVADA WASHINGTON NEBRASKA ARIZONA COLORADO PENNSYLVANIA AND MASSACHUSETTS

Select State

Choose Appointment Date

Fill Your Detail

Select State as per your location

Select Medical Staff

Choose an appointment Date

Fill Your details along with Vital Info

Select State (Click on image to select)

CALIFORNIA

NEW YORK

WASHINGTON

NEBRASKA

COLORADO

ARIZONA

PENNSYLVANIA

MASSACHUSETTS

NEVADA

Select Staff and choose date

April, 2, 2018 Sunday

First Month of Semaglutide
(4 Shots $313.99 Including Shipping)

Sorry! Please select another date use

PRESENTLY SERVING SEMAGLUTIDE IN CALIFORNIA NEW YORK NEVADA WASHINGTON NEBRASKA ARIZONA COLORADO PENNSYLVANIA AND MASSACHUSETTS

Select State

Choose Appointment Date

Fill Your Detail

Select State as per your location

Select Medical Staff

Choose an appointment Date

Fill Your details along with Vital Info

Select State (Click on image to select)

CALIFORNIA

NEW YORK

WASHINGTON

NEBRASKA

COLORADO

ARIZONA

PENNSYLVANIA

MASSACHUSETTS

NEVADA

Select Staff and choose date

April, 2, 2018 Sunday

First Month of Semaglutide (4 Shots $313.99 Including Shipping)

Sorry! Please select another date use

First Month of Semaglutide
(4 Shots $313.99 Including Shipping)