Consultation Form
This health form will be used to assess your safety & suitability for our service.
Please read all the information carefully and complete all fields to the best of your knowledge.
If at any point you are unsure of anything, please contact us for a telephone consultation.
Why do I need to complete a health form?
Some of our services includes the use of physical exercise and/or medications. For your safety, we need to ensure you are suitable to perform exercise and/or use any medications we may provide you with. The health form is all about you, your history and your goals. Your information will NEVER be shared with any 3rd party except our pharmacy partners, who dispense your medication.
PLEASE NOTE: We will require a form of ID to verify you are over the age of 18 and that we are prescribing for a real person. If you have used the medication before, we will require proof of previous usage. If this information is not loaded with your health form, it will cause delays to your order or a refund to be issued.
Services can only be purchased via a referral to us at this time. Please see our Referral page.