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- Are you a new or Existing Client of the Clinic?
- Consultations Required for First-Time Clients Select Online or at the Clinic
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- Doctor's Consultation Appointment (Schedule is Subject to Availability, Consult is 1,000.00 can be paid before the appointment schedule, as well as can be paid via online channels)
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- Have you been diagnosed with any of the following conditions? (Check all that apply)
- Are you pregnant, breastfeeding, or planning to become pregnant
- What are your primary goals for using Semaglutide or Tirzepatide? (Check all that apply)
- Have you previously used any weight-loss or diabetes medications
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- Should be Empty: