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Step 1 of 7 — Program Selection
Step 1 of 7

What's your goal?

Select the program that best fits your needs. Your physician will tailor the treatment plan to you.

🔒HIPAA Secured
🩺Licensed Physicians
📦Free Shipping
❌No Insurance Needed
Step 2 of 7

Your height & weight

We use this to calculate your BMI and assess eligibility. GLP-1 therapy requires BMI ≥ 27.

Step 3 of 7

Medical History

These questions help your physician safely evaluate your eligibility. Answer honestly — accuracy protects your health.

⚠️ GLP-1 therapy is contraindicated for personal/family history of medullary thyroid carcinoma (MTC), Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or active pancreatitis. Your physician will evaluate these during review.
Do you have any of the following? *
Are you currently pregnant, breastfeeding, or planning to become pregnant?
Have you used opiate pain medications in the last 3 months?
Prior weight loss surgeries?
Step 4 of 7

Current Medications

This helps your physician check for drug interactions. Include all prescription, OTC, and supplement medications.

Include dose and frequency if known
Step 5 of 7

Symptoms & Goals

Help your physician understand what you're experiencing and what you want to achieve.

Current symptoms (select all that apply):
How active are you currently?
Have you had hormone levels tested recently?
Step 6 of 7

Informed Consent

Please read and acknowledge each item before submitting your assessment to an independent licensed physician.

📋 What happens next: An independent licensed physician reviews your submission within 24 hours. If approved, your prescription is sent to a licensed compounding pharmacy. You'll receive email/SMS updates. ProviaRx does NOT prescribe — all decisions are made exclusively by independent physicians.
⚠️ Compounded Medication Notice: These medications are NOT FDA-approved. They are produced in FDA-regulated compounding facilities but have not been evaluated by FDA for safety, efficacy, or quality. Your physician will discuss all risks.
By submitting, you agree to ProviaRx's Terms & Conditions and Privacy Policy. ProviaRx is a technology platform only. All prescribing decisions are made by independent licensed physicians. This assessment does not create a doctor-patient relationship.
Step 7 of 7 — Final Step

Almost done — your contact details.

Collected last so your physician has your full health picture. HIPAA-encrypted.

We'll send your approval status here
For prescription status updates via SMS
Required for dosing protocols
Available in 49 states (not North Dakota)
🔒 Your information is protected under HIPAA. Only your assigned independent physician will access it.
✓

Assessment Submitted!

An independent licensed physician will review your assessment within 24 hours. Check your inbox for your approval status, payment link, and shipping details.

What Happens Next

1
Physician reviews your medical history (within 24 hrs)
2
Approval email with personalized treatment plan sent to you
3
Complete payment to activate your subscription (no charge today)
4
Licensed pharmacy ships your medication in discreet packaging (3–5 days)
5
Patient portal access for ongoing care, messaging & AI support
<24hr
Physician review
3–5
Days to ship
$0
Charged today

Questions? Email [email protected] or use the live chat on our site.

🔒HIPAA Secured
🩺Independent Physicians
📦Discreet Shipping