Appointment intake
Step 1 of 7
, you are pre-approved!

Contact information

Please enter your first name.
Please enter your last name.
Please enter a valid email.
Please enter your phone number.
Please select your gender.
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Licensed
Every case is reviewed by a licensed medical provider.
Private
Your data is protected and used only for your care journey.
Fast
Most patients complete intake in under 3 - 7 minutes.

Eligibility basics

Welcome back!

We recognized your details. As a returning patient, your reorder evaluation will be prioritized.

Please select your state.
Please enter a valid date of birth (18+ only).
Please enter your height.
Please enter your weight.
Body Mass Index (BMI)
--
Enter height and weight
We will calculate your BMI automatically.
Underweight
< 18.5
Healthy
18.5 - 24.9
Overweight
25 - 29.9
Obesity
30+
BMI is a screening measure, not a diagnosis. Your provider uses full clinical context.
Please choose a weight loss goal.

Health history

Your provider uses this to evaluate safety and fit.

MEDICAL HISTORY (MANAGEABLE)
MEDICAL HISTORY (HIGH RISK - MAY DISQUALIFY)

Your Recent Vitals

/ mmHg
Example: 120 / 80
Please enter your most recent readings. If you haven't checked lately, please do so before continuing.
Additional intake details for provider review
↓ Choose one option below ↓
Phentermine
PHENTERMINE
Compounded medication
LOSE Up to 10% body
weight

A doctor-guided solution designed to help
you safely lose up to 10% of your body
weight.

Deliverd Home

Tirzepatide
TIRZEPATIDE (GLP-1 + GIP)
Compounded medication
LOSE UP TO 22% of Body Weight
Based on large clinical trials (like SURMOUNT)

Backed by science. Guided by doctors. A dual-hormone approach that helps you lose up to 20% - 22% of your body weight—even if nothing else has worked.

Fast Approval

Share your desired dosage in intake

Your provider will confirm what’s safe. He will prescribe only what’s safe for you . If you’re not aligned with the plan, you can talk to him.

Treatment options - GIP + GLP-1 Tirzepatide and Phentermine

Select the option you're interested in. A provider will confirm what's clinically appropriate.

Important: This selection does not guarantee a prescription. Final decisions are made by your licensed provider after medical review.
Choose your plan
Full Package
$125 / month
Comprehensive weight loss support for 30 days.
  • 1 Month Medication Supply
  • Consultation with Licensed medical provider
  • 0 Cost for consultation
Best Value
Value Plan
$360 / 3 months
Long-term management for sustained results.
  • 3 Months Supply
  • Medical Provider Consultation
  • 0 Cost for consultation
  • 6 Different Diet Plans
Rx Only
$105 / order
Prescription sent directly to your local pharmacy.
  • New Patient Rx
  • Licensed Provider Consultation
  • Pharmacy Support
Reorder
Only click here if you are already an existing patient
click here.
1 Month Plan Options
Dose 1
$67 / week
  • $268 per month equivalent (4 weeks)
  • No membership fees. No hidden charges. Just treatment pricing.
Dose 2
$73.75 / week
  • $295 per month equivalent (4 weeks)
  • No membership fees. No hidden charges. Just treatment pricing.
Dose 3
$82.25 / week
  • $329 per month equivalent (4 weeks)
  • No membership fees. No hidden charges. Just treatment pricing.
Dose 4
$74.57 / week
  • $298 per month equivalent (4 weeks)
  • No membership fees. No hidden charges. Just treatment pricing.
Dose 5
$99.75 / week
  • $399 per month equivalent (4 weeks)
  • No membership fees. No hidden charges. Just treatment pricing.
Dose 6
$107.50 / week
  • $430 per month equivalent (4 weeks)
  • No membership fees. No hidden charges. Just treatment pricing.
3 Month Value Plans
Popular
Dose 1-3 Value
$789 / 3 months
  • 12 Week Supply
  • Gradual dosage increase
  • Most convenient
Dose 4-6 Value
$1099 / 3 months
  • 12 Week Supply
  • Advanced maintenance
  • Significant savings
Please select one option to continue.
Confirm your selection
No selection yet.

Pharmacy Information

Please provide the details of the pharmacy where you would like to pick up your prescription.

Optional for Rx
Tip: Call your pharmacy first to ensure they have Phentermine in stock.
Please enter the pharmacy name.
Please enter the pharmacy address.
Please enter the city.
Please select the state.
Please enter the ZIP code.
Please enter the pharmacy phone number.

You’re One Step Away — See a Provider Now

  1. Once you complete your intake form, your secure link is sent instantly to your Email
  2. Click to join — most patients are seen in 3-7 minutes
  3. Available 7 days a week, 6 AM – 7 PM PST
  4. No scheduling — fast, physician-guided care
  5. Have a valid government-issued ID ready
Sample ID format
Sample driving license ID format
Example only. Upload a clear photo of your own valid government ID.
Upload your driving license or any government-approved photo ID to continue.
Please upload your driving license or government-approved photo ID.

Shipping Address

Please provide the address where you would like your medication to be delivered.

Please enter your shipping address.
Please enter your city.
Please select your shipping state.
Please enter your zip code.
Please choose a scheduling option.
Patient experiences
Before: Waiting days just to hear back
After Leanefy: Spoke to a licensed provider within minutes

"Got approved quickly and my meds arrived within 48 hours. Everything finally felt smooth and easy."

- Michael R., 42 — Dallas, TX

"After delays with another company, Leanefy was a complete shift. Connected with a provider almost immediately, no confusion, and meds shipped fast. Finally felt like a professional, patient-first system."

- Priya S., 37 — Edison, NJ
Connect now
This is where you can route the user to your immediate connection flow (video room / call queue / live chat).
Connect Now
Tip: your backend can assign a provider and return a secure meeting link for this user.
Book your appointment
Select a date/time. This uses a lightweight calendar picker (Flatpickr). Your backend should: (1) validate availability, (2) reserve the slot, (3) email/SMS reminders, and (4) optionally attach a calendar invite (ICS).
Timezone is required.
Please select a date & time.
We will confirm availability on submit.
(Email/SMS reminders require backend integration using the captured email/phone.)

Review & submit

Confirm your details before submitting your intake.

Final step
Your information
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Consent
Consent is required.
Consent is required.
Terms acceptance is required.
Treatment (including prescriptions) is decided by the provider based on clinical appropriateness.

Please sign inside the box below using your mouse or touch screen.

Official Medical Record
Signature is required.
Your progress saves automatically as you type.
Support
Questions? Our clinical support team is here to help you 7 days a week.
Contact Support

Complete payment to proceed

We'll begin processing your appointment immediately after payment.

Secure checkout
Order summary
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Payment
This is a placeholder. Redirect to your real payment/checkout route (PayTrace/Stripe/etc.).
Go to Checkout
After payment, show confirmation + next steps (provider review timeline, appointment link, reminders).
Note: you can also embed your hosted payment fields directly on this screen.