Complete this form to receive provider clearance and buy peptides online. One of our board-certified clinicians will review your intake and reach out to discuss next steps.
We offer professional-use only injectable peptides, fully vetted for purity and quality. Every peptide we dispense is pharmaceutical-grade, third-party tested, and manufactured in the USA. We do not take shortcuts on sourcing.
Everything you need to know when submitting your intake form.
Your intake is reviewed by one of our board-certified providers. We will reach out within 1 to 2 business days to discuss your goals and confirm which peptides you are approved for.
No — submitting this intake form is completely free. If our provider determines that a more in-depth consultation would benefit you, we offer an optional 30-minute paid consultation ($199) with a board-certified provider to discuss your goals, review your medical history, and design a personalized peptide care plan. This fee is not required to get started.
The following peptides are available for purchase after completing this intake form and receiving provider approval — no full consultation required: Wolverine Blend (BPC-157 + TB-500), BPC-157, TB-500, GHK-Cu, GLOW Blend, KLOW Blend, and NAD+. A full $199 consultation is required for: Sermorelin, Tesamorelin, Tesamorelin/Ipamorelin, Semax, and Selank. California residents only.
Yes. All information submitted through this form is kept strictly confidential and stored securely. Your health information is protected in accordance with HIPAA regulations and will only be used by our clinical team to evaluate your eligibility for peptide therapy. We will never share your personal or medical information with third parties.
Provider review typically takes 1 to 2 business days. Once your intake has been reviewed, a member of our team will reach out to discuss your results and next steps. If you have not heard from us within 2 business days, feel free to call our office directly at 714-671-2005.
Yes, we ask that all patients — new and existing — complete this intake form before beginning peptide therapy. This allows our providers to review your current health status, medications, and goals to ensure the right peptides are recommended for you at this time. It only takes a few minutes and helps us serve you better.
Our team is here to walk you through the process, answer any questions you have about peptide therapy, and make sure you feel confident every step of the way.
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