Weight Loss Assessment

Start your weight loss journey.

Begin your weight loss journey today. Discover treatment options tailored to your goals, habits, and health history. By reaching out to us you consent to Fit Medical Solutions using your responses to personalize your experience and for other purposes outlined in our Privacy Policy. Responses submitted before account creation will not be used in your medical assessment.

Name

Date of Birth*

Email*

Phone*

What state do you live in?*

Have you tried weight loss medications in the past? *

Do you have a family history of obesity? *

Have you been diagnosed with type 1 diabetes. *

Have you been diagnosed with pancreatitis or gastroparesis *

Do you have a history of medullary thyroid cancer or multiple endocrine neoplasia syndrome type 2?*

Are you currently Pregnant or Breast feeding?*

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Finishline IV Therapy Fit Medical Solutions

702-635-2220

Fitmedicalsolutions@gmail.com