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Free eligibility assessment

Check your eligibility.
Get a custom peptide protocol.

Fill in your health background and goals. An AHPRA-registered doctor reviews your submission and builds your personalised peptide protocol. Review everything, full pricing included, before you commit to anything.

Free to complete Doctor reviewed Personalised protocol No payment until you approve Australian licensed pharmacies No lock-in Free to complete Doctor reviewed Personalised protocol No payment until you approve Australian licensed pharmacies No lock-in

Your assessment

Begin here.
It only takes 3 minutes.

Peptide Therapy - Step 1 of 4

Which area do you want help with? *

Weight Management
Recovery and Injury
Performance
Healthy Ageing
Energy and Vitality
Sleep and Stress

Previous peptide treatment experience *

New to this area
Previously used prescribed treatment
Currently using prescribed treatment

This helps the doctor understand your starting point.

In your words what do you want help with?, and is there anything specific you want considered? *

Tell us your main goal, any treatment names you have heard of or want discussed, and anything important for UHD or the doctor to know.

Name *

First

Last

Previous concerns Height

Email *

We send your proposed protocol and pricing to this address

Date of Birth *

Required for the Doctor Review

Phone *

Height *

Weight *

How Active are you?

Are you over 18 years of age? *

Are you currently located in Australia and able to attend telehealth consultations with an Australian doctor? *

Are you currently pregnant, breastfeeding or planning pregnancy? *

Yes
No
Not applicable

Have you been diagnosed with cancer in the past 5 years, or are you currently undergoing treatment? *

Do any of the following apply to you? *

Diabetes or blood sugar condition
Heart or cardiovascular condition
Liver or kidney condition
Thyroid condition
Autoimmune condition
Blood clotting disorder or blood thinners
Mental health condition under current treatment
Recent hospitalisation or major surgery (last 12 months)
None of these apply

Tick everything that applies. This goes directly to the doctor with your request.

Current prescription medications *

List all current prescription medications and doses. Write none if not applicable.

Are you currently taking any peptides, hormones or weight loss medications? *

Are you currently taking any supplements?, if yes what are they? *

Allergies or previous reactions to medications *

List any known allergies or reactions. Write none if not applicable

Have you ever had side effects or concerns with any previous treatments/medication? *

If yes, tell us about the side effects or concerns

What would you like to achieve over the next 4 weeks? *

Your Ideal Budget Range *

$250-500
$500-750
$750-1000

If your protocol suits you, are you ready to start now? *

UHD BioHealth internal doctors will prepare and email you the Protocol *

Yes, i understand

Consent and acknowledgements *

I confirm the information I have provided is accurate and complete to the best of my knowledge.
I understand UHD BioHealth is a telehealth support service and this form does not replace medical advice, a doctor consult or clinical assessment.
I understand any proposed protocol is subject to doctor consult, clinical suitability and pharmacy availability. Treatment is not guaranteed. Help text: Please read and tick each acknowledgement before submitting your request.

Patient signature *

Clear Signature

Sign to confirm the information and consent acknowledgements above are true and understood.

Your information is handled in line with our privacy policy. Used only to prepare your assessment and contact you about your results.

This assessment does not constitute a medical diagnosis and is not a substitute for advice from your own treating doctor. A personalised protocol is only issued following assessment and approval by an AHPRA-registered prescribing doctor. Treatment is not guaranteed and is at clinical discretion.

Important

AHPRA-registered doctor assessment required for all protocols

Treatment is not guaranteed and is at clinical discretion

Full pricing presented before any payment is taken

Australian licensed compounding pharmacies only

Doctor-led peptide therapy, GLP-1 weight management, recovery, longevity and hormonal health pathways for Australians. AHPRA-registered doctors. TGA-compliant compounding pharmacies.

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