GLP-1 weight loss care — led by a Mayo Clinic–trained physician

Monthly clinical oversight with real dose adjustments and guidance — so you're never left figuring it out alone.

Monthly follow-ups with a physician who knows your case
Support for side effects, questions, and next steps
Eligibility check takes 2–5 minutes
No payment required to get started

You'll answer a few brief questions. If you appear eligible, you'll see your result right away — then complete your intake for physician review.

HIPAA Compliant

Physician-Led Care

LegitScript Certified

Basic Information

Your information is protected with HIPAA-compliant systems. This will take just a few minutes.

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Email Address *

Please enter a valid email address.

Date of Birth *

You must be 18 or older.

Please enter a valid date of birth (18+).

Gender at Birth *

Female Male

Please select gender at birth.

Height *

ft

in

Please enter your height.

Weight *

lbs

Your most recent measurement is fine.

Please enter your weight.

GLP-1 weight loss care — led by a Mayo Clinic–trained physician

Monthly clinical oversight with real dose adjustments — so you're never left figuring it out alone.

Monthly physician follow-ups

Side effect support & guidance

Eligibility check: 2–5 min

No payment required to start

HIPAA Compliant · Physician-Led Care · LegitScript Certified

Safety Check

We ask these questions to ensure safe, appropriate care. If any apply, we'll guide you to the best next steps for your health.

By filling in your information below, you confirm that you have read and agree to Praxiom Health's Terms of Service and acknowledge the Privacy Policy.

Have you ever been diagnosed with Type 1 diabetes? *

Please select an answer.

Are you currently pregnant, planning pregnancy soon, or breastfeeding? *

Please select an answer.

Do you have a family history of medullary thyroid cancer (MTC) or Multiple Endocrine Neoplasia type 2 (MEN2)? *

Please select an answer.

Have you had bariatric surgery in the past 6 months or been hospitalized recently? *

Please select an answer.

Have you ever been diagnosed with pancreatitis? *

Please select an answer.

Checking eligibility...

Your Health & Lifestyle

We ask these to make sure your care plan is safe and effective. If none apply, write "none."

Current medications, vitamins, or supplements *

This field is required. Enter "none" if not applicable.

Medication or food allergies *

This field is required. Enter "none" if not applicable.

Any current or past medical conditions *

This field is required. Enter "none" if not applicable.

Have you had any surgeries in the past? *

Please select an answer.

Please list previous surgeries with approximate dates *

Please list your previous surgeries with approximate dates.

How many alcoholic drinks do you have per week? *

Please select an option.

Your Past Weight Loss Journey

Your experience and concerns help us understand what works best for you.

Have you ever tried any weight loss programs, diets, or medications? *

This field is required. Enter "none" if not applicable.

Have you used any weight loss prescription medications in the past 30 days? *

Please select an answer.

Date of your last dose / injection *

Please enter a valid last dose date.

Any side effects? (optional)

Please upload a picture of your current prescription. (optional)

Click to choose a file
PDF, DOCX, images, up to 10 MB

Mental Health Check

Because certain medications can affect mood, we ask every patient this question. Your honesty helps us help you.

Your response is confidential and will only be used to ensure your safety and wellbeing.

In the past two weeks, have you had thoughts about harming yourself or others? *

Please select an answer.

Support is Here for You

If you are in crisis, please call or text 988 for immediate, confidential help — available 24/7.

988 Suicide & Crisis Lifeline — Call or Text 988

hello@praxiomhealth.com

Personalizing Your Plan

Your care is built around your goals and what matters most to you.

What are you hoping to improve most right now? * (choose one)

Weight loss Appetite / craving control Blood sugar / metabolic health Energy

Please select your primary goal.

What's your biggest concern about GLP-1 care? (optional — choose any that apply)

Any other health goals, worries, or questions for your care team? (optional)

A1C Results

This helps your care team understand your metabolic health history.

Do you have a copy of your most recent A1C results? *

Please select an answer.

Upload your A1C results

Click to choose a file
PDF, DOCX, images, up to 10 MB per file — max 3 files

Please upload your A1C results to continue.

Military Affiliation

We proudly offer special rates to military personnel

Do you have any affiliation with the military (active duty, veteran, or spouse/dependent)? *

Please select an answer.

Military Verification

Upload documentation so our team can confirm your military rate eligibility.

Veteran Program Verification *

If you plan to take advantage of our military program for compounded medication, documentation is required to verify eligibility and will be shared with our pharmacy partners for enrollment.

Please upload one of the following:

DD214
Discharge paperwork
Military ID

If you are a spouse or dependent, please also include:

Spouse: Marriage certificate
Dependent: Birth certificate

Click to choose a file
PDF, DOCX, images, up to 10 MB

Please upload military verification documentation.

Treatment Preference

Tell us which medication path best fits what you're looking for.

Which option best describes what you're looking for? *

Brand name

Compounded

Not sure

Please select the medication path you prefer.

Almost Done!

Answer a few brief medical questions to complete your intake.

Your selection Compounded GLP-1

You've indicated you're looking for a compounded GLP-1 option. Our team is happy to help you get there if you qualify.

Compounded medications may only be prescribed when at least one qualifying medical reason is present. Please answer the following brief questions — this takes under 1 minute.

Your answers help our physician determine the safest and most appropriate treatment for you.

Address & Phone

Confirm where your medication and care updates should be routed.

Please enter your home address. *

Please enter your street address.

Apartment, suite, or unit (optional)

City *

Please enter your city.

State *

Please select your state.

ZIP Code *

Please enter your ZIP code.

Please enter your phone number. *

Please enter your phone number.

ID Upload

For verification purposes, please upload your government issued photo ID.

For verification purposes, please upload your government issued photo ID. *

Click to choose a file
PDF, DOCX, images, up to 10 MB

Please upload your government issued photo ID.

Photo Upload

Please upload a current photo so the clinical team can complete identity and safety review.

Please upload a photo of yourself that demonstrates a clear, unobstructed view of your full face and body. *

Click to choose a photo
PDF, DOCX, images, up to 10 MB

Please upload a current photo of yourself.

Indications for Compounded GLP-1's

Compounded medications may only be prescribed when at least one qualifying medical reason is present.

Please review the following questions carefully and select any that apply to you. If none apply, our clinical team will review your information and recommend the safest and most appropriate option for you.

Headaches/Migraines
Do you have a diagnosis of headaches/migraines syndrome? Do you get headaches frequently without a diagnosis? Have you experienced headaches while on this medication previously? *

Please select an answer.

Acid Reflux/Heartburn/GERD
Do you have an official diagnosis of the above? Do you experience these frequently without a diagnosis? Have you experienced these previously while on a GLP-1? *

Please select an answer.

Fatigue
Do you have a diagnosis of Chronic Fatigue? Do you often experience fatigue or feelings of being tired without a diagnosis? Have you previously felt fatigued on a GLP-1? *

Please select an answer.

Nausea
Are you prone to experiencing nausea easily? Have you had nausea while previously on a GLP-1? *

Please select an answer.

Digestive Health
Do you have a diagnosis of IBS? Do you experience IBS symptoms without a diagnosis? Do you experience constipation, gas, or bloating frequently? *

Please select an answer.

Almost Done!

Add your payment details to complete your intake for physician review.

Your selection Brand-name GLP-1

You've indicated you're looking for a brand-name GLP-1 option. Our team is happy to help you get there if you qualify.

You've completed the health questionnaire. Our physician will review your intake and reach out within 1 business day to discuss your options.

Adding your payment details is the final step to submit your intake for physician review. You won't be charged until your treatment plan is confirmed.

Address & Phone

Confirm where our team can reach you during insurance review.

Please enter your home address. *

Please enter your street address.

Apartment, suite, or unit (optional)

City *

Please enter your city.

State *

Please select your state.

ZIP Code *

Please enter your ZIP code.

Please enter your phone number. *

Please enter your phone number.

ID Upload

For verification purposes, please upload your government issued photo ID.

For verification purposes, please upload your government issued photo ID. *

Click to choose a file
PDF, DOCX, images, up to 10 MB

Please upload your government issued photo ID.

Photo Upload

Please upload a current photo so the clinical team can complete identity and safety review.

Please upload a photo of yourself that demonstrates a clear, unobstructed view of your full face and body. *

Click to choose a photo
PDF, DOCX, images, up to 10 MB

Please upload a current photo of yourself.

Almost Done!

Add your payment details to complete your intake for physician review.

Your selection Speak with someone first

You've indicated you'd like to speak with someone before making a decision. Our team is happy to walk you through your options.

Adding your payment details is the final step to complete your intake. Our physician team will personally review your information and reach out to discuss the best path forward for you.

Address & Phone

Confirm where our nurse can reach you to review options.

Please enter your home address. *

Please enter your street address.

Apartment, suite, or unit (optional)

City *

Please enter your city.

State *

Please select your state.

ZIP Code *

Please enter your ZIP code.

Please enter your phone number. *

Please enter your phone number.

ID Upload

For verification purposes, please upload your government issued photo ID.

For verification purposes, please upload your government issued photo ID. *

Click to choose a file
PDF, DOCX, images, up to 10 MB

Please upload your government issued photo ID.

Photo Upload

Please upload a current photo so the clinical team can complete identity and safety review.

Please upload a photo of yourself that demonstrates a clear, unobstructed view of your full face and body. *

Click to choose a photo
PDF, DOCX, images, up to 10 MB

Please upload a current photo of yourself.

How Did You Hear About Us?

We'd love to know how you found Praxiom Health.

Before We Review Your Case

Here's how the review and payment process works.

Your card won't be charged until the physician reviews your case.

Your intake is reviewed by our nursing team, then a licensed Praxiom physician evaluates your history and preferences to determine if you're a suitable candidate for GLP-1 medication.

We'll reach out once your review is complete — typically within 24 to 48 hours during the work week.

IF YOU ARE A CANDIDATE

You will be charged based on which type of GLP-1 medication the physician decides is better suited for you:

For compounded
You will be charged a monthly, all-inclusive package (consult, medication, shipping, and pharmacy handling), starting at $214.99 (Semaglutide) or $263.99 (Tirzepatide).

For brand-name
You will be charged a consultation fee of $74.99. Brand-name GLP-1 medication must be purchased by you from a local retail pharmacy or directly from the manufacturer. We will send a prescription to whichever you choose.

IF YOU ARE NOT A CANDIDATE

For your safety, your physician may decide that you are not a suitable candidate for GLP-1 medication.

If so, a one-time $24.99 clinical review fee is applicable to cover the physician's time. Nothing else.

GLP-1 weight loss care — led by a Mayo Clinic–trained physician

Basic Information

GLP-1 weight loss care — led by a Mayo Clinic–trained physician

Safety Check

We'd Like to Follow Up With You

Help us follow up

Questions? Contact Us

Congratulations — You're Eligible!

Your Health & Lifestyle

Your Past Weight Loss Journey

Mental Health Check

Support is Here for You

Personalizing Your Plan

A1C Results

Military Affiliation

Military Verification

Treatment Preference

Almost Done!

Address & Phone

ID Upload

Photo Upload

Indications for Compounded GLP-1's

Almost Done!

Address & Phone

ID Upload

Photo Upload

Almost Done!

Address & Phone

ID Upload

Photo Upload

How Did You Hear About Us?

Before We Review Your Case