Before we book your Initial Consultation,

Let’s See If Our Program Is a Fit for You

This short questionnaire helps determine whether you may be eligible for at-home, clinician-guided weight management using compounded semaglutide or tirzepatide.

By continuing, you acknowledge and agree to our Privacy Policy and Terms of Service.

Important Notice:

Compounded semaglutide or tirzepatide contains the same active ingredient found in FDA-approved medications such as Zepbound™ and Mounjaro®, but it is not the same product and is not manufactured, reviewed, or approved by the FDA. All treatment decisions are made by a licensed medical provider.

Full Name

Email *

Phone *

What is your height? *

What is your weight? *

State *

What is your BMI?

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By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from Body Lab Wellness at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

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What best describes where you are right now? *

I’m ready to prioritize my health and move forward now

I’m motivated but need to understand logistics first

I’m exploring options for the future

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