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Unlock Your Weight Loss Potential With Semaglutide Today! The cost is $50 for a Tele-visit only if you get prescribed the medication. You don't pay anything if you are not eligible for Semaglutide.
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1
Patient Name
*
This field is required.
First Name
Last Name
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2
How old are you?
*
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Under 18
18-29
30-39
40-49
50-59
60-74
75+
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3
Please select your gender at birth
*
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Please Select
Male
Female
N/A
Please Select
Please Select
Male
Female
N/A
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4
Please enter your Date of Birth
*
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Date
Month
Day
Year
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5
Which state do you live in?
*
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Tennessee
Georgia
Alabama
Other
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6
Email
*
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example@example.com
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7
Please enter the phone number to reach you at:
*
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Cellphone # preferred
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8
Once you hit submit, you will be transferred to our telehealth platform "Xpedicare". You will need to create an account, select 'Semaglutide,' and answer a few questions. You will also need to upload a full-body picture and a photo of your driver's license (Photo ID). Please ensure these photos are ready on your device before proceeding.
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