Eligibility Check: Everglow Miami
Secure
Step 1 of 12

Before we start

Are you ready to finally lose the weight and actually keep it off?

That's what we do here, so we just want to make sure.

Yes, I'm ready
Just looking for now

Your goals

"I want to…"

Select all that apply to you.

Feel confident in my body again
Have energy through the whole day
Stop thinking about food constantly
Fit back into clothes I've put away
Keep up with my family without limits

What you've tried

"I've already tried…"

Diets that worked until they didn't
The gym, on and off, for years
Cutting out whole food groups
A GLP-1 from an online provider
Honestly, most things

What's holding you back

"The thing I'm afraid of is…"

That I'll gain it all back
That nothing works for my body
That I've left it too late
That I'll waste more money

About you

What is your biological sex?

This helps our clinicians assess your metabolism accurately.

Male
Female

Safety check

Are you currently pregnant, breastfeeding, or trying to become pregnant?

GLP-1 medications are not recommended during pregnancy or breastfeeding.

No
Yes

Just to confirm

You selected that you're pregnant, breastfeeding, or trying to become pregnant. Is that correct?

We ask because it changes whether we can help you safely right now.

Yes, that's correct
No, I selected that by mistake

We can't start you just yet.

GLP-1 medications aren't recommended during pregnancy, breastfeeding, or while trying to conceive. It wouldn't be safe or fair to book you a consultation today.

When the time is right, we'd genuinely love to help. Save our number and reach out whenever you're ready: (305) 200-3734.

Measurements

Your height and weight

We use this to calculate your BMI and personalize your plan.

ft
in
lbs
lbs

Losing weight is easier than you think.

Here's your projected progress with a GLP-1 treatment plan.

...LBS
...LBSGoal Weight
Today 3 Months 6 Months
...Pounds to lose
...Of body weight
...Lbs / week

Medical history

Have you ever taken a GLP-1 medication?

For example: Ozempic, Wegovy, Mounjaro or Zepbound.

Never taken
Have taken / currently taking

Almost done

"On my weight loss journey so far, I've already invested…"

There's no wrong answer. It helps us tailor what we show you.

Under $250
$250 to $750
$750 to $1,500
$1,500 to $3,000
$3,000 or more

Almost done

What is your name?

Your information is kept private and protected under HIPAA.

Contact

Your email address

Used for care-related communication.

Contact

Your phone number

We may use this to contact you about your prescription if needed.

Eligibility

Lastly, your date of birth

Used to confirm eligibility. You must be at least 18 years old.

You qualify

Confirm your consultation

This is an IN-PERSON visit at our Miami clinic, it is NOT a virtual appointment. You'll meet one-on-one with your weight-loss coordinator, who walks you through your custom plan. Our physician reviews your profile and prescribes behind the scenes.

Address: 9400 NW 12th Ave, Bay 3, Miami, FL 33150

I will make it for an in-person appointment
I am unable to make an in-person appointment

You're all set.

A licensed clinician will review your profile and reach out shortly. Check your email for next steps.

Please answer to continue.