Create Your Account

Enter your information to get started with Healing Biologix.

First Name *

Last Name *

Email *

Phone Number *

Booster Account (optional)

Verify Your Email

We've sent a 6-digit verification code to

Verification Code *

Medical Intake — Step 1

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Medical Intake — Step 2

Physical Information

Height — Feet *

Height — Inches *

Current Weight (lbs) *

Target Weight (lbs)

Your Calculated BMI: --

A BMI of 27+ with weight-related conditions or 30+ qualifies for treatment

Medical Intake — Step 3

Medical History

Sex *

Male Female Other

Have you taken GLP-1 medication before? *

Yes No

Current Medical Conditions

List any chronic conditions or diagnoses (e.g., hypertension, PCOS)

None added yet

Current Medications

List any medications you are currently taking

None added yet

Allergies

List any known allergies (medications, food, environmental)

None added yet

Please check all that apply:

I have or have had heart disease I have diabetes (Type 1 or Type 2) I have thyroid issues or take thyroid medication I am currently pregnant, trying to become pregnant or nursing

Medical Intake — Step 4

Weight Loss Goals

Previous Weight Loss Attempts *

Your Weight Loss Goals *

Consent & Agreements

Choose Your Medication & Plan

Select the GLP-1 medication and subscription plan that best fits your weight loss goals.

Select Medication

Semaglutide

✓

Same active ingredient as Ozempic® and Wegovy®
Proven 15–20% body weight reduction
Weekly self-administered injection
Most affordable GLP-1 option

Tirzepatide

✓

Most Effective

Same active ingredient as Mounjaro® and Zepbound®
Up to 22% body weight reduction in studies
Dual GIP/GLP-1 receptor agonist
Superior metabolic benefits

NAD+

✓

Cognitive Function

Enhances mitochondrial function
Supports DNA repair
Improves cognitive resilience

Glutathione

✓

Immune Support

Antioxidant & detox
Strengthens immune defense
Reduces oxidative stress
Supports liver health

Sermorelin

✓

Regeneration

Growth hormone stimulation
Supports muscle recovery & tissue repair
Boosts natural hGH release

✓

Final Step!

After submitting, your information will be reviewed by a licensed healthcare provider within 24 hours. You'll receive an email notification when your consultation is ready.

✓

Registration Complete!

Thank you for completing your registration. A Healing Biologix specialist will review your information and reach out within 1 business day. Once approved, an email will be sent to your email address for the Password set-up of your account.

Return to Home