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GLP-1 Weight Loss Membership

Welcome to weight loss with Aesthetics on Call!

Why Aesthetics On Call?

We provide the same medications as mainland companies but with LOCAL support from our medical team.

How much does it cost?

Start today for JUST $189 per month including EVERYTHING you need!

Our prices are lower than the big mainland companies like Noom, Hers and Mochi!

How does it work?

Complete the form below to start.  Your medications will ship directly to your home from our FDA accredited 503B pharmacy partners. 

Start your weight loss journey

Start by filling out the form below to see if you're eligible.  We'll reach out via text in 1-2 days!

Format: 1-999-999-9999

Birthday
Month
Day
Year
Have you ever been diagnosed with or told you have pancreatitis?
Yes
No
Do you have a history of any of the following?

Be sure to include any medical conditions, including those treated with medications. If none, please enter "none"

Include all medications including supplements that you take daily or frequently. If none, please enter “none”.

List all allergies to medications. If none, please enter “none”.

Are you pregnant, breastfeeding, trying to, or at risk of getting get pregnant?
Yes, I am currently pregnant or breastfeeding
Yes, I am currently trying to become pregnant or having sex without birth control.
No
For your safety you should not take GLP-1s if you're planning on becoming pregnant. It can take up to 6 weeks for GLP-1s to be completely out of your body. If you're planning to become pregnant, stop GLP-1s at least 2 months prior.
I understand
I do not understand
Purging (self-induced vomiting with or without the use of laxatives or diuretics/water pills), severely restriction calorie intake, or falling below a BMI of 18.5 severely increases the risk of electrolyte imbalances and seizures while on treatment.
I understand
I do not understand
Do you have a family history of thyroid issues?
No
Yes
Have you or a family member ever been diagnosed with any of the following conditions?
Have you ever experienced any of the following?

If you have them; please upload a copy of recent labs (within the past 1 year) including CBC (complete blood count), CMP (complete metabolic panel), lipase, TSH (thyroid stimulating hormone).

(This is required to confirm your identity with our pharmacy partners)

By entering my full name here I consent to the above information being digitally transmitted and reviewed for medical purposes.

Thank you so much for taking the time to complete this form. One of our team members will reach out to you within 1-2 days to discuss your treatment options. We can't wait to see your success with our program!

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