V2 PPHS + DQs (5/4)

1
Right now, Torch is only available for people with certain BMIs. BMI is one of many factors Torch uses to determine program eligibility.

To calculate BMI, we will need your weight and height.
2
To calculate your BMI, enter your weight and height:
3
Do you take any of the following medications?* This field is required.Doctors use this information to ensure any/all prescriptions are safe and effective. The health of our members is our #1 concern. Select all that apply.
None/NA
Amphetamines
Opioids
Methadone
Antipsychotics (such as clozapine, olanzapine, zotapine)
4
Have you ever been diagnosed with, or treated for, any of the following conditions?* This field is required.Some of these conditions put certain individuals at increased risk for health complications. Doctors need this information to ensure prescriptions are an appropriate weight loss solution for Torch members. Select all that apply.
None/NA
Anorexia or bulimia
Kidney or liver problems
Stroke
Coronary artery disease, heart failure, arrhythmia(s),
Suicide attempts/ideation
Glaucoma
Seizures
Chest pain
5
Do you currently have any of the following conditions?If no, please select "None/NA"
None/NA
Pre-diabetes
High cholesterol
Joint pain
Sleep apnea
Fatty liver
Back pain
Arthritis
Nerve pain
6
Congratulations! You may qualify for Torch's prescription plan. Enter your email and click "submit" to view a limited time first month offer. Additional information required after signup.
example@example.com
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