Consultation Form

Home
Articles
Hormones & Weight Loss
Pricing
Consultation Form
FAQs
Store

Home
Articles
Hormones & Weight Loss
Pricing
Consultation Form
FAQs
Store

Treetop Health

Home
Articles
Hormones & Weight Loss
Pricing
Consultation Form
FAQs
Store

Home
Articles
Hormones & Weight Loss
Pricing
Consultation Form
FAQs
Store

Update on Compounded Tirzepatide Supply (March 20th, 2025) Widespread availibility of compound tirzepatide has ended on March19th. Compounding pharmacies may supply tirzepatide only if there is a valid medical exemption to using commercial option.

Fill out this form to get access to our program. We will get back to you within 24 hours.

Which of the following are you interested in learning about?

Semaglutide Tirzepatide (only if there is a medical exemption to using commercial option) Liraglutide Bioboost Formula Custom compounded lotions

First Name

Last Name

Gender at birth

Male Female

Phone

Date of Birth

Address

City

State

Zip Code

Weight Loss Goals

Current Weight

Height

Goal Weight

Medical Conditions

Do you have any allergies?

Are you taking any medications?

Are you Pregnant?

Do you or any of your family members have Multiple Endocrine Neoplasia Syndrome Type 2 (MEN-II) or Medullary Thyroid Cancer?

Are you currently being treated for Diabetes Type 1 or 2?

Are you transferring from another weight loss program where you are already taking Ozempic/Wegovy (semaglutide) or Mounjaro (tirzepatide)?

Are you taking any other weight loss medication?

Ozempic Wegovy Semaglutide Mounjaro/Tirzepatide Other None

What dosage of weight loss medication are you taking (if applicable)

Referred by / Additional comments, concerns, or questions?

Need a boost?

Click below to go to the Bioboost Formula information page.

Take me there!

Stay in the Loop!

Be the first to hear about sales, new articles and motivational guides!

Mail

Treetop Health

Terms of Service

Scroll to Top

Treetop Health

Treetop Health