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Step 1 of 4 — Location Verification

Where Are You Located?

Telemedicine rules are based on where you are physically located at the time of care. Confirm your current state to check availability and route your assessment request.

State and program routing is loaded from ForgeVita's current availability configuration. "Configured" means the state/program combination is enabled in ForgeVita's routing rules. Live submission and clinical review still depend on the secure clinical workflow being active and verified. Provider, consent, payee, and final-charge disclosures happen within the partner workflow — not on this page.

Step 2 of 4 — Program Selection

Select Your Program

Choose the health area you'd like to address. Availability depends on your selected state's routing configuration.

Availability Notice
Weight Loss Assessment

Tell Us About Your Goals

Independent licensed providers may consider your primary symptom pattern when evaluating whether GLP-1 therapy is appropriate. What matches your experience best?

Testosterone Assessment

Tell Us Your Symptoms

Schedule III — Pending Verification

Testosterone is a Schedule III controlled substance. This pathway is currently waitlist-only pending state-by-state controlled-substance workflow validation. When reopened, independent partners may require laboratory review, identity verification, video evaluation, or in-person follow-up before treatment can be prescribed.

Low testosterone presents uniquely in every individual. Which symptom is currently impacting your daily function most significantly?

Erectile Health Assessment

Tell Us More

Independent licensed providers review symptom patterns — including onset frequency — when evaluating which PDE5 inhibitor approach may be clinically appropriate.

Hair Restoration Assessment

Describe Your Pattern

Follicular miniaturization presents differently based on age and genetics. How would you characterize your current hair loss pattern?

Step 4 of 4 — Submit Assessment

Almost There.

Enter your email to submit your intake request. If your request can move forward, the secure clinical workflow handles provider disclosures, consents, clinical review, and billing authorization.

Assessment Received

Watch your inbox for next steps.

Please enter a valid email address.

By submitting this form, you consent to ForgeVita collecting your email and, where applicable, your state to route your request. We do not sell or share your personal information. See our Privacy Policy for details.

Submitting this request does not guarantee diagnosis, prescription approval, or treatment availability. This public form is the start of your intake, not a clinical evaluation. If your request can move forward, the secure clinical workflow will disclose the treating provider entity, applicable consents, final charges, and any current-location confirmation requirements before clinical evaluation or professional billing. ForgeVita does not practice medicine or pharmacy. Clinical decisions are made by independent licensed providers.

Connecting you to the secure clinical workflow. Provider details, consents, and final charges appear next.