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Start Your Consultation

Submitting your intake form…

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You’re All Set!

Your intake has been received. A BioCore physician will review your information and reach out within 24 hours.

1

Physician reviews your case

2

You’ll be contacted to schedule

3

Prescription ships from FDA-compliant pharmacy

🔒 HIPAA Secure · Patient Intake Form

Tell us about
your health

Complete this form so our physicians can build your personalized treatment protocol. Takes 5–8 minutes.

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Your Quiz ProtocolRecommended treatments pre-filled below
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Personal Information
Basic contact and demographic details
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Health Goals
What are you looking to achieve?
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Current Symptoms
Check all you’re currently experiencing
1 — Minimal10 — Extreme
5
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Medical History
Medications, allergies, and past procedures
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Lifestyle
Diet, exercise, and daily habits
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Lab Work
Upload recent bloodwork if available (optional)
ℹ️Recent lab work helps our physicians design the most accurate protocol. If you don’t have labs, we can order them during your consultation.
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Upload Lab Results
PDF, JPG, or PNG · Max 10MB
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Anything Else?
Questions or context for your physician
🔒Your information is transmitted securely and stored in our HIPAA-compliant system. It will only be accessed by your assigned BioCore physician.
🔒 Encrypted · HIPAA Compliant · Physician-reviewed within 24 hours

— Resources

Patient Resources

Everything you might need, in one place.

Telehealth How provider care works → Injection Guide Reconstitution, technique, storage → Patient Portal Manage your subscription and refills → Heroes Program Veterans, first responders, healthcare → Talk to Us Pre-purchase questions, no chatbot →