Preselection Intake – Trim

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Welcome to JoinTrim!
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therapy*
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The following questions will provide important information to your assigned provider so they can properly access your condition and prescribe medication if appropriate.

The information you are about to provide will be used by a board certified physician licensed in your state to help create a treatment plan for you. Please answer all questions accurately.
Consent Agreement*

I agree to Join Trim's Terms, Privacy Policy and consent to Telehealth


Free online medical evaluation	Board-certified physicians	Fast free shipping

Let's start with the basics
First, we need to make sure we are licensed in your state*
What is your Zip Code?*
What is your full name?*
What is your date of birth?*

MonthDayYear
date_of_birth
Are you currently taking prescription weight loss medications?*

YesNo
Are you currently taking Semaglutide or Tirzepetide?*

SemaglutideTirzepitide
What is the current/most recent dose of semaglutide you have taken?*

10 units every week (0.25mg)20 units every week (0.5mg)40 units (1mg) *HIGH CONCENTRATION60 units (1.5mg) - *HIGH CONCENTRATION80 units (2.5mg)- *HIGH CONCENTRATIONI'm not sure
What is the current/most recent dose of Tirzepetide you have taken?*

25 units every week (2.5mg)50 units every week (5mg)75 units every week (7.5mg)50 units every week (10mg)63 units every week (12.5mg)I'm not sure
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What is your gender?*

MaleFemale
What’s your current weight?*
What is your goal weight?
What is your email address?*
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By checking this box, You agree to receive doctor correspondence, transactional and/or marketing messaging from Join Trim, to the email address that you provided above.
Please enter the best phone number to reach you on just in case the doctor has any questions regarding your medical information.*
Can we also send you text messages about your prescription including tracking information and refill information?*

YesNo
Read More

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By checking this box, I also consent by electronic signature to receive phone calls and/or SMS text messages at the phone number(s) below, including my wireless number if provided. I understand these calls may be generated using an automated technology, pre-recorded voices and that data rates may apply. I understand that my consent is not required to buy goods/services and I may opt out at any time to avoid receiving calls or SMS text messages.
What is your gender?*

Unfortunately we cannot service this condition in your state. Please contact your local physician for assistance.

Your state may require a phone or video consultation to complete your treatment. Don't worry! Your doctor will reach out to you if this is the case.

today*

MonthDayYear
Date
age*
Sorry, you must be over 18 to use this service

Congrats!
You’ve been pre-approved. Start your weight loss journey in 4 easy steps!

  Step 1
Proceed to checkout—your card WILL NOT be charged until you’ve been approved in Step 4 after doctor review.

  Step 2
Complete questionnaire. You will fill out all questions needed to ensure we have the necessary personal and medical information to create your custom plan

  Step 3
Customized weight loss plan. Your doctor will review all of your information and curate a weight loss plan specific to you to enable great results.

  Step 4
You’re approved & your prescription is on it’s way!

MONEY BACK GUARANTEE!
Semaglutide

Same active ingredient
as Ozempic®
Semaglutide*
Semaglutide

Lose up to 15% of your body weight

Same as Active Ingredient as Ozempic® and Wegovy®

Compound Semaglutide

(Tailored Plan)

$225/mo➜
Tirzepatide

Same active ingredient
as Mounjaro®
Tirzepatide*
Tirzepatide

Lose up to 25% of your body weight

Same as Active Ingredient as Mounjaro® and Zepbound®

Compound Tirzepatide

(Tailored Plan)

$399/mo➜
You can select any one option at a time.
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Calculation
Are you CURRENTLY taking any PRESCRIPTION medications for weight loss?*

YesNo
Medications we offer:
Weight loss medications*

Compounded Semaglutide (up to 1mg/weekly)
$225/per monthCompounded Semaglutide (up to 2.4mg/weekly)
$225/per monthCompounded Tirzepatide (up to 5mg/wk)
$399/per monthCompounded Tirzepatide (up to 10mg/wk)
$399/per monthCompounded Tirzepatide (up to 15mg/wk)
$399/per month
Weight loss medications*

Compounded Semaglutide S1 (Starting Dose)
$225/per monthCompounded Tirzepatide T1 (Starting Dose)
$399/per month
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