Not a Medicare or government website. A licensed clinician decides.

For Medicare patients

Request a free phone review for GLP‑1 weight-loss medicine.

Tell us how to reach you, add your Medicare card, and pick a time for a free call. A licensed clinician reviews every request.

Request a free phone review

Free phone call with a licensed clinician. No office visit and no cost. A clinician decides if treatment is right for you.

Takes about 3 minutes

Requesting a phone review does not guarantee a prescription or that Medicare will pay.

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  1. STEP 1Your name and phone
  2. STEP 2Medicare card or number
  3. STEP 3Pick a call time

Request your free phone review

Feeling Overwhelmed? Talk to SomeoneTalk with a caring counselor first.

All fields are required unless marked (optional).

Please enter your full name.

Please enter a phone number with area code.

Please check your email address.

Type numbers only, for example 04/21/1958.

Please enter your date of birth as MM/DD/YYYY.

MEDICARE/INSURANCE CARD

Add a photo of your Medicare card or Medicare plan card (Medicare Advantage / insurance): the front, then the back. You can cover the signature.

    OR
    11 letters and numbers, for example 1EG4-TE5-MK72. We do not need your Social Security number.

    Please upload your card photo or type your 11-character Medicare number.

    Choose a day for your call
    Pacific time

    Please choose a day.

    Choose a call time

    Please choose a time.

    Please check this box so we can contact you.

    Free phone call with a licensed clinician. No office visit and no cost. A clinician decides if treatment is right for you.

    This is a request, not a confirmed appointment or prescription. A team member will confirm by phone or email.

    BEFORE YOUR PHONE REVIEW

    Health Questionnaire

    Please complete and sign before your appointment.

    Fill Out Intake Form Before Your Phone Review → Prefer paper? Download the PDF