Tell us about you

Your details help our medical team confirm suitability and create a plan for you

Help us understand your medical background

Answer a few quick questions so we can provide care that’s safe, personalized, and completely confidential.

Your age is one factor we use to tailor the safest, most effective care plan

Your height and weight help us calculate your BMI. This helps create the safest treatment plan for your body.

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Your health details help our surgeons tailor safe, effective care.
All information is private, HIPAA-compliant, and protected to the highest standards.
Do you have Type 1 Diabetes?
Are you currently undergoing or have you recently received treatment for cancer?
Have you undergone an organ transplant?
Do you have Deep Vein Thrombosis (DVT)?
Do you have a pacemaker?
Do you have hypertension?
Have you experienced blood clots?
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