Established Patient On Medication

Established Patient On Medication
I am an established patient and have been taking brand (or compounded) Ozempic or Wegovy (semaglutide) or Mounjaro (tirzapetide) from another provider. I am aware of contraindications and side effects of which I have none.

I am requesting RED Zone Health & Wellness, LLC take over my care and prescription for continuing this medication.

I will provide a completed contact and health history form. I understand there are regular/monthly provider follow up visits in person or via phone before prescriptions can be ordered. RED Zone Health & Wellness, LLC may require lab work for the continuation of these medications.

**I understand that RED Zone Health & Wellness, does not provide primary care services.**
Medication requested:
My current dose is:
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