Patient Intake

Start Your SCULPT Evaluation

Begin with a structured clinical review to determine whether the SCULPT program is appropriate for your health goals.

What Happens After You Start

The evaluation process begins with a secure intake that helps your clinician understand your medical history, health goals, and metabolic background. This information helps determine whether the SCULPT program and potential treatment options are appropriate.

Secure and Confidential

Patient privacy is extremely important. The SCULPT platform uses secure systems designed to protect health information and support confidential communication between patients and clinicians.

Secure Platform

HIPAA Compliant

Confidential

Begin Your Evaluation

Please complete the intake form below to begin your clinical evaluation. Your information will be reviewed by a licensed clinician to determine whether the SCULPT program is appropriate for your needs.

First Name *

Last Name *

Email Address *

Phone Number *

Are you a Massachusetts resident? *

Share your goals, preferred services, and health history

I understand this is a request for medical evaluation and that prescription medication is provided only after evaluation by a MA-licensed clinician and only if clinically appropriate. *

Your information is secure and HIPAA-compliant. A clinician will review your submission within 24-48 hours.