What is your date of birth?

The online program is available to adults age 18 and older.

Date of birth

Physical information

What is your height and weight?

This helps give your clinician useful context for your assessment.

Height

Feet Inches

Weight in pounds

lb

Health information

What was your sex assigned at birth?

This information helps a clinician interpret hormone-related laboratory results.

Male Female Intersex Prefer not to say

Location

Which state do you live in?

Care availability depends on clinician licensing and state requirements.

State

Contact information

What is your email address?

We’ll attach this to your assessment order so the care team can follow up.

Email address

Your answers are stored with your Shopify cart and order. Do not use this form for urgent medical concerns.

Review

Your TRT starter assessment

Confirm your information, then continue to Shopify’s secure checkout.

Date of birth
Height
Weight
Sex assigned at birth
State
Email

Testosterone Replacement Therapy Initial lab panel + clinician consultation

$49

Purchase does not guarantee a prescription or treatment approval. If approved and prescribed, you’ll be charged an additional $149. No action is needed from you; our care team will process the charge.

Program availability

We can’t offer this online assessment right now.

Based on the information provided, this program is not currently available to you.

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