General Health

A healthy lifestyle will make your heart and every other organ in your body healthier. Tips for a healthy body include: stop smoking, exercise, watch your weight, eat healthy foods, reduce alcohol consumption, and many more! Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.




To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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Male
Female
Transmale (Born a female)
Transfemale (Born a male)




Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding

Male
Female
Transmale (Born a female)
Transfemale (Born a male)


At least 72 hours
A week
A month
More than a month