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Fill out the form below and a licensed provider will follow up with you shortly. Most visits are completed the same day.

24/7 Urgent Care AvailableOnline Consults, Anytime

Contact Information

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Service Requested

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Medical Information

Current Symptoms *

Current Medical Diagnoses

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Current Medications

Known Allergies

Past Surgeries or Procedures

Additional Notes

Payment

Payment option

GLP-1 Consultation — Tirzepatide$350.00

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Patient Consents

I have read and agree to the Consent to Treatment. *

I have read and agree to the Consent to Telemedicine Services. *

I have been informed of and agree to the use of compounded medications, which may not be FDA-approved. (Required if prescribed a GLP-1 medication)

I understand that Vitamin B12 may be prescribed as a supplement to my weight loss medication and consent to its use as part of my treatment plan if recommended by my provider. (Required if B12 is prescribed)

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What to Expect

Quick Response

A provider will review your request and respond within a few hours during business hours.

No Insurance Needed

We accept self-pay patients. Flat-rate pricing — you'll know the cost before your visit.

Prescription Sent to You

When clinically appropriate, prescriptions are sent directly to your preferred pharmacy.

806 NW 16th Ave, Unit 390
Gainesville, FL 32601

(352) 451-6159 1-800-209-9215 (Toll-Free)

Fax: (352) 451-6159

[email protected]

Have questions first?

Browse our Services & Pricing page to see all conditions we treat and what each visit costs.

Your information is safe

All intake information is transmitted securely and kept strictly confidential in accordance with HIPAA guidelines.