Api Form – Care Purely Optimal

It’s not magic, it’s proven science. Drop 15 to 20% of Your Body Weight effortlessly

Discover Your Path to a Slimmer You!

Let's Get To Know You!

First Name

Last Name

Email

Phone Number

Your information is secure with us. 100% private! We value your privacy.
Medical evaluation and perscriptions by board-certified physicians
Continued support from your doctor and our care team

Join 1,500,000+ weight loss patients

Did you know? Biological sex and hormones impact how our bodies metabolize food.

What was your gender at birth?

Male Female

Did you know? Weight loss can be different depending on age and sex. This means that each individual needs a different metabolic strategy.

What is your age?

What is your height (ft,in)?

How much do you weight (lbs)?

Did you know? BMI, which stands for Body Mass Index. It is a simple calculation using a person’s height and weight to estimate body fat. BMI is used as a screening tool to identify weight categories that may lead to health problems.

Did you know? Some medical conditions can drive weight gain and make it much harder to lose weight.

Do you have any of the following conditions (select all that apply)?

High Cholesterol or Triglycerides / Dyslipidemia Fatty Liver Disease High Blood Pressure (Hypertension) PCOS Metabolic Syndrome Cardiovascular Disease Pre Diabetes / Type 2 Diabetes / Hbac 1 above 5.7 Osteoarthritis Obstructive Sleep Apnea None of the above

Do you have any of the following symptoms (select all that apply)?

Medullary Thyroid Cancer (MTC) or family history of MTC Multiple Endocrine Neoplasia Syndrome Type 2 (MEN 2) Serious Allergic Reaction Active Cancer Active Drug or Alcohol Misuse Eating disorders Bipolar Disorder Schizophrenia Pancreatitis Pregnant or planning to become pregnant in the next 2 months None of the above

We all have to start somewhere, and you've already taken the first step!

What is your weight loss goal?

Lose over 50 lbs for good Lose 21-50lbs for good Lose 1-20lbs for good Maintain my health weight None of the above

What weight-loss initiatives have you tried in the past?

Exercise Dieting Weight-loss Supplements Intermittent fasting Other GLP1s Others not listed None of the above

Your transformation starts here.

Congratulations!

The final step towards your weight loss goals is a consultation with your doctor. They will recommend the ideal dosage and the most suitable GLP-1 Medication to support your journey effectively. Personalized weight loss plans made simple.

Semaglutide + Free virtual consultation

for just $299

No Upfront Charges: You will not be charged any amount until your medication is reviewed and approved by a licensed healthcare professional.

We pride ourselves on affordable, permanent weight loss solutions.
Our patients have over 95% success in achieving their weight loss goals.
Get access to Ozempic®, Wegovy® and other weight loss medications

Thousands of people are losing weight with GLP-1 medications Starting at $299

Click NEXT to proceed to payment

Last Step! Where do you want your doctor to ship your medication after your appointment?

Let us know where we can send your weight management program.

Address Line 1

Address Line 2

City

State

Zip Code

Stripe Setup Id

© 2024 Purely Optimal

It’s not magic, it’s proven science.

Drop 15 to 20% of Your Body Weight effortlessly

Experience a fast and effective plan to achieve your weight goals. Check if you qualify now!

What was your gender at birth?

Male Female

What is your date of birth?

What is your age?

What is your height (ft,in)?

How much do you weight (lbs)?

BMI, which stands for Body Mass Index. It is a simple calculation using a person’s height and weight to estimate body fat. BMI is used as a screening tool to identify weight categories that may lead to health problems.

The formula for calculating BMI in pounds is: BMI = (weight in pounds / (height in inches)^2) * 703

Do you have any of the following conditions (select all that apply)?

High Cholesterol or Triglycerides / Dyslipidemia Fatty Liver Disease High Blood Pressure (Hypertension) PCOS Metabolic Syndrome Cardiovascular Disease Pre Diabetes / Type 2 Diabetes / Hbac 1 above 5.7 Osteoarthritis Obstructive Sleep Apnea None of the above

Do you have any of the following symptoms (select all that apply)?

Medullary Thyroid Cancer (MTC) or family history of MTC Multiple Endocrine Neoplasia Syndrome Type 2 (MEN 2) Serious Allergic Reaction Active Cancer Active Drug or Alcohol Misuse Eating disorders Bipolar Disorder Schizophrenia Pancreatitis Pregnant or planning to become pregnant in the next 2 months None of the above

What is your weight loss goal?

Lose over 50 lbs for good Lose 21-50lbs for good Lose 1-20lbs for good Maintain my health weight None of the above

What weight-loss initiatives have you tried in the past?

Exercise Dieting Weight-loss Supplements Intermittent fasting Other GLP1s Others not listed None of the above

First Name

Last Name

Email

Phone Number

Consent

You agree to receive automated follow up, reminder, and promotional messages, calls or email with varying frequency.

ⓘ Read our Terms of Service, Privacy Policy. Txt and data rates may apply.

Last Step! Where do you want your doctor to ship your medication after your appointment?

Let us know where we can send your weight management program.

Address Line 1

Address Line 2

City

State

Zip Code