Radiate Health and Wellness Weight Loss Program
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
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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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The Compounded GLP 1 (compounded Semaglutide) Weight Loss Program is $354 a month for the first three months and the compounded Tirzepatide is $399 for the first month, price increases with dose. This includes medication. supplies, nutrition and lifestyle training and weekly check in visits via telehealth. The intake appointment is $59-$279 depending on what labwork is needed. If you have recent labs we may be able to waive part of the intake fee. The monthly cost is a subscription and will be charged unless you give 1 week notice that you are exiting the program. This is only available to TN and GA residents and all appointments are virtual.
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