Answer a few questions to see if you qualify for our medically supervised weight management program. Takes 5 minutes. Our team reviews every submission within 1 hour.
We use this to verify eligibility and follow up with your assessment results. All information is kept strictly confidential.
This helps our medical team determine the right program for you. Your information is strictly confidential and protected under HIPAA.
Please read and acknowledge each item below. These consents are required before your assessment can be reviewed by our medical team.
Your assessment has been received. Our medical team will review your information and reach out within 1 hour during business hours.
Based on your responses, our current program may not be the right fit at this time. We've noted your information and will be in touch if our eligibility criteria change. We appreciate your trust in Prime Health & Wellness.
Questions? Email us at [email protected]