Radiate Health and Wellness Programs
www.radiatehealth.net
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Name
First Name
Last Name
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Email
example@example.com
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What is your date of birth?
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Address
Street Address
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City
State / Province
Postal / Zip Code
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Phone Number
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How did you hear about me?
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Referral
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Starting Height and Weight
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Do you have a history of Medullary Thyroid Cancer, Pancreatitis or Gastroparesis
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No
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Do you have any allergies? If so please list:
Have you had routine labwork completed in the last 6 months?
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Radiate Health Wellness Direct is a monthly membership designed to support your health from multiple angles, all in one place. Initial visit is $250, then monthly $99 fee. What’s included: Medication and Peptide management for obesity care, hormone optimization and more. Lifestyle medicine support focused on sustainable, long‑term health. Basic lab work to guide personalized treatment decisions. HIPAA‑compliant direct messaging for faster access to expert care. Monthly meal plans and education for a healthier life. A streamlined, supportive medical experience built around you. This program is ideal if you’re looking for consistent care, accountability, and a proactive approach to wellness—without feeling rushed or overlooked. Radiate Health Wellness Direct is about making high‑quality, integrative care more reachable, more personal, and more effective. If you are not looking for a membership, the New Patient visit is $250 and follow up visits are $99. Follow up must occur every three months at a minimum.
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