Patient onboarding

Your intake, done in about ten minutes.

This secure questionnaire gives your clinician the picture they need before your first visit. It is HIPAA-compliant, saved as you go, and you can finish later from the link we email you.

Account

Health history

Goals

Consent

Create your account

We use this to set up your secure portal and send appointment details.

First name *

Last name *

Email *

Mobile phone *

Date of birth *

State of residence *

We are licensed in 32 states. We will confirm coverage before your visit.

Health history

A quick snapshot. Your clinician reviews this before you meet.

Height

Weight

Current medications & supplements

Known conditions or past surgeries

Allergies

Your goals

Tell us what you want from regenerative care so we point you to the right program.

Primary area of interest

What are you hoping to improve?

Have you done lab work in the last 6 months?

Consent & privacy

Required to provide telehealth care. Your information is encrypted and HIPAA-protected.

Encrypted submission. We never sell or share your data for marketing.

✓

Intake received

Thank you. Your secure intake is in. A care coordinator will confirm your state coverage and you can now choose an appointment time. Most patients are seen within 48 hours.

Schedule your visit →