Secure screening

GLP-1 program intake

Complete the form below so our clinical team can review eligibility. This is screening only—not a diagnosis or prescription. If you qualify, you'll be able to book your consultation as the next step.

Step 1 of 4Your information

We'll use this to match your chart and follow up within one business day.

By providing your mobile number, you agree to receive SMS messages from Hello Gorgeous Med Spa regarding appointments, updates, and promotional offers. Message frequency varies (up to 4 messages per month). Message & data rates may apply. Reply STOP to unsubscribe. Reply HELP for help. View our Privacy Policy.

5-digit ZIP

Protected health information · stored securely for your chart

Questions? Call 630-636-6193. By continuing you agree we may contact you at the information you provide. See our Privacy Policy.