Tirzepatide Pre-Screen • Non-Medical Tool
Non-Medical Pre-Screen

Tirzepatide / GLP-1 Pre-Screen Tool

This tool is for administrative pre-screening for our weight-management program only. It does not diagnose, treat, or determine who “qualifies” for medication and does not create a doctor–patient relationship. All final decisions are made by a licensed medical provider.

Basic Information
Enter your current height and weight. We will calculate your BMI and apply our program pre-screen rules for GLP-1 weight-loss therapy.
BMI: —
Your BMI is one factor providers may consider when evaluating GLP-1 therapy.
Safety Screen & Diabetes Treatment
These are program “red flag” questions. Answer as accurately as you can. If you are not sure, select “Yes / Not sure”.
Check Your Pre-Screen Result
We will apply our program pre-screen rules based on your BMI and answers. This is not a medical decision.
Important: This is an educational and administrative pre-screen only. It is not medical advice, not a diagnosis, and not a prescription. It does not create a doctor–patient relationship. Only a licensed medical provider can determine whether Tirzepatide or any GLP-1 therapy is appropriate for you, especially if you have type 2 diabetes or are using insulin or other diabetes medications.