DrWell

Licensed providers. No appointment needed.

Getting started

Step 1 of 10

Let's find the treatment that fits you

Answer a few questions about your health and what you want to change. A licensed provider reads every answer and recommends a plan built for you.

About 5 minutesMost people finish in one sitting

PrivateYour answers go to your provider, nobody else

No appointmentNo waiting room and no phone tag

Nothing is sent until the last screen. You can go back and change any answer.

Which state do you live in?

Providers can only treat patients in states where they hold a license. If yours is not licensed where you live, we will connect you with one who is.

Choose your state to keep going.

What would you like help with?

Pick everything that applies. You can choose more than one.

CheckboxWeight lossGLP-1 medication and weight programsCheckboxTestosterone replacementLow energy, low libido, muscle lossCheckboxMenopause and estrogenHot flashes, sleep, mood, bone healthCheckboxLongevity, peptides, hair and skinAging well, hair thinning, skin healthCheckboxAddiction and compulsive behaviorCravings, substance use, compulsive habits

Pick at least one so we know how to help.

How did you hear about us?

A quick one. Where did you find the link that brought you here? An email, a website, social media, the office, or a friend.

Optional

Weight loss

Tell us about your weight goals

There are no wrong answers here. The more you share, the better your provider can help.

What is your main goal for weight loss treatment? Optional

Reduce body weightImprove my overall healthManage a condition related to my weightSomething else

What is your target weight or weight loss goal? Optional

Have you tried other weight loss methods before?

Diet, exercise, medication, programs, anything.

YesNo

Pick one to keep going.

Which ones did you try?

Add a short answer so your provider knows what you have tried.

How ready are you to stick with a long-term plan?

Very readySomewhat readyNot very ready yet

Pick one to keep going.

How long has your weight been affecting your health?

Less than a yearOne to five yearsMore than five years

Pick one to keep going.

Do you deal with any of these? Optional

Checkbox 2FatigueCheckbox 2Joint painCheckbox 2Trouble being activeCheckbox 2Low self-esteemCheckbox 2Something else

Has a doctor ever diagnosed you with obesity?

YesNo

Pick one to keep going.

Does obesity or a metabolic condition run in your family? Optional

YesNo

Which conditions? Optional

A few health basics

Your provider needs these to keep your treatment safe. Answer honestly, this is confidential.

Are you pregnant, breastfeeding, or planning to become pregnant?

YesNo

Pick one to keep going.

Are you taking any medications or supplements right now?

YesNo

Pick one to keep going.

Which ones?

Include vitamins and anything you buy over the counter.

List what you are taking so your provider can check for interactions.

Do you have any known allergies to medications or injections?

YesNo

Pick one to keep going.

What are you allergic to, and what happens?

Tell your provider what you react to.

Has a doctor diagnosed you with any of these?

Tap everything that applies. If none of them apply, tap None of these.

Checkbox 3None of theseCheckbox 3Cardiovascular diseaseCheckbox 3High blood pressureCheckbox 3Type 2 diabetes or insulin resistanceCheckbox 3Sleep apneaCheckbox 3Obstructive sleep apneaCheckbox 3Prostate problemsCheckbox 3Benign prostatic hyperplasiaCheckbox 3Elevated PSACheckbox 3Depression or anxietyCheckbox 3Thyroid disordersCheckbox 3Kidney diseaseCheckbox 3Liver diseaseCheckbox 3Autoimmune disordersCheckbox 3Osteoporosis or bone density issuesCheckbox 3Cancer, current or pastCheckbox 3Breast cancer, current or pastCheckbox 3Uterine or ovarian cancerCheckbox 3Neurodegenerative conditions such as Alzheimer's or Parkinson'sCheckbox 3Hormonal imbalancesCheckbox 3Polycystic ovary syndrome (PCOS)Checkbox 3EndometriosisCheckbox 3Menopause, natural or surgicalCheckbox 3Scalp conditions such as psoriasisCheckbox 3Hair lossCheckbox 3Anemia or iron deficiencyCheckbox 3High cholesterolCheckbox 3Gastrointestinal disorders such as GERDCheckbox 3Pancreatitis, now or in the pastCheckbox 3ObesityCheckbox 3Irregular heartbeatCheckbox 3Uncontrolled congestive heart failureCheckbox 3Erectile dysfunctionCheckbox 3Hematocrit greater than 50 percent

Tap at least one, or tap None of these.

Does anyone in your family have any of these? Optional

Checkbox 3Prostate cancerCheckbox 3Breast cancerCheckbox 3Ovarian cancerCheckbox 3Uterine cancerCheckbox 3Cancer, otherCheckbox 3Heart attack or strokeCheckbox 3Blood clots or clotting disordersCheckbox 3Type 2 diabetesCheckbox 3Neurodegenerative diseasesCheckbox 3Male or female pattern baldnessCheckbox 3Autoimmune disordersCheckbox 3Hormonal conditions such as PCOSCheckbox 3OsteoporosisCheckbox 3GallstonesCheckbox 3Kidney problemsCheckbox 3Eating disordersCheckbox 3Alcohol abuse

Food, sleep and your weight

Everyday habits change what treatment works best. Answer the way things actually are, not the way you wish they were.

How would you rate the way you eat?

Healthy and balancedSomewhere in the middleNot great right now

Pick one to keep going.

How many servings of fruit and vegetables do you eat on a normal day?

0 to 12 to 34 or more

Pick one to keep going.

Do you follow a specific way of eating, or have food restrictions or allergies?

Vegetarian, keto, intermittent fasting, gluten free, anything like that.

YesNo

Pick one to keep going.

Tell us a little more Optional

Do you usually get at least 6 to 8 hours of sleep?

YesNo

Pick one to keep going.

Have you gained or lost a noticeable amount of weight recently?

YesNo

Pick one to keep going.

Do you track any health numbers at home?

Blood sugar, blood pressure, cholesterol, bone density.

YesNo

Pick one to keep going.

Activity, stress and habits

No judgement here. Your provider needs the real picture to prescribe safely.

Do you get regular physical activity?

YesNo

Pick one to keep going.

How would you describe your stress levels?

LowModerateHigh

Pick one to keep going.

Do you drink alcohol?

YesNo

Pick one to keep going.

Do you smoke or use tobacco products?

YesNo

Pick one to keep going.

Do you use recreational drugs?

This stays between you and your provider. It matters for drug interactions.

YesNo

Pick one to keep going.

Weight loss

A few safety questions

These decide whether weight loss medication is safe for you. Your provider checks every one.

Do you or anyone in your family have medullary thyroid cancer, or MEN 2?

These are rare thyroid conditions. If you have never heard of them, the answer is almost certainly no.

YesNo

Pick one to keep going.

Have you ever had an eating disorder? Optional

Binge eatingAnorexiaNeither of these

Have you ever had pancreatitis?

YesNo

Pick one to keep going.

Have past medications ever made you severely nauseous or made you vomit?

YesNo

Pick one to keep going.

Have you used a GLP-1 medication before?

Semaglutide, Ozempic, Wegovy, liraglutide, tirzepatide, Mounjaro or Zepbound.

YesNo

Pick one to keep going.

Do you have any worries about taking weight loss medication?

YesNo

Pick one to keep going.

What is on your mind? Optional

Anything else your provider should know? Optional

Anything you already have in mind?

If you are not sure, that is completely normal. Pick the first option and your provider will recommend what fits.

Checkbox 4Let my provider guide meRecommended if you are new to this

Checkbox 4SemaglutideAlso known as Ozempic or WegovyCheckbox 4TirzepatideAlso known as Mounjaro or ZepboundCheckbox 4SuperSemaglutideCheckbox 4GLP-1 squaredCheckbox 4PhentermineCheckbox 4Bupropion with naltrexoneCheckbox 4Low dose naltrexoneCheckbox 4Lipo Mino or MIC injectionsCheckbox 4Vitamin B12 injectionCheckbox 4Vitamin B complex

Pick at least one, or choose Let my provider guide me.

Last thing: your consent

Read each one and tick the box. All five are required before a provider can review your answers.

By submitting this questionnaire you confirm that the information you provided is accurate to the best of your knowledge.

Checkbox 5I confirm that all my answers are accurate and complete.

Tick this box to continue.

Your answers are reviewed by a licensed medical professional to determine whether you are eligible for care.

Checkbox 5I understand that my information will be reviewed by a licensed medical provider.

Tick this box to continue.

I authorize the DrWell-affiliated provider and staff to help me in my health and wellness efforts. I understand that my program may consist of behavioral modifications, supplements, nutraceuticals and medications including, but not limited to, those for weight loss, skin care, hair regrowth, hormone therapy, longevity or other medications that are sourced from 503A or 503B pharmacies that are under the oversight of state Boards of Pharmacy or the FDA.

Checkbox 5I authorize DrWell providers to support my wellness plan, which may include compounded medications from licensed pharmacies.

Tick this box to continue.

I understand that any medical treatment may involve risks as well as proposed benefits. I also understand that there are certain health risks associated with an unhealthy lifestyle, including but not limited to cancer, high blood pressure, diabetes, heart attack and heart disease, arthritis of the joints including hips, knees, feet and back, sleep apnea, and sudden death.

Checkbox 5I understand that medical treatments carry risks, and that an unhealthy lifestyle can lead to serious health conditions.

Tick this box to continue.

I understand that much of the success of the program will depend on my efforts and that there are no guarantees or assurances made to me that the program will be successful.

Checkbox 5I understand that my effort is key to the program's success and that results are not guaranteed.

Tick this box to continue.

Where should we send your results?

Your provider sends their recommendation here. If you do not have an account yet, we will create one for you.

Mobile number or email

Enter a mobile number or an email address so we can reach you.

By continuing you agree to DrWell's Terms and Conditions and Privacy Policy. If you give a mobile number you agree to receive text messages from DrWell at that number. Consent is not a condition of purchase. Message frequency varies and message and data rates may apply. Reply STOP to unsubscribe at any time, or HELP for help.

That's everything. Nice work.

Your answers are on their way to a licensed provider. Here is what happens next.

A provider reviews your answersUsually within one business day

You get a recommended planSent to the number or email you gave us

You decide whether to startNothing is charged until you say yes

Questions before then? Reply to the message we send and it goes straight to your care team.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Back Continue

A licensed provider reviews every answer.

What we will ask

Where you live · What brings you in · Your goals · Health history · Daily life · Safety check · Treatments