Private clinical intake

Start your intake.

A short, secure intake gives the clinical team the context to understand your goals before any consult payment or treatment decision.

7-10 minutes · Secure · No health data before contact capture

What to expect

Email or mobile first. Intake next. Review after.

01Health context

02Lab status

03Clinical review

Guided intake

Answer in chat.

A quick guided conversation captures goals, symptoms, history, and lab status for provider review.

Goals, history, symptoms, and lab status
No diagnosis or treatment recommendations in chat
Provider review before treatment decisions

Guided intake · physician-reviewed

Hi - I'm the Life Lab MD intake assistant. I'll ask a few quick questions so the clinical team can understand your goals before any consult decision. To start: what's your first and last name?

Intake only. This assistant does not diagnose or prescribe - a physician reviews everything.

Prefer the full form?

Use the full form.

Use the structured form if you prefer typing without chat. It routes to the same physician review.

Progress

01Eligibility
02Performance
03Medical history
04Labs
05Review

Your intake is reviewed before any treatment path is offered.

Standard consult $199. First-consult price with email $49.

Review answers

Step 01

Eligibility baseline

Legal first nameLegal last nameDate of birthEmailMobile numberState of residence

State eligibility

We confirm state availability before consult payment or care proceeds.

If Life Lab MD cannot serve your state, the team will tell you before any consult payment.

Sex assigned at birth

MaleFemaleIntersex

Step 02

Performance goals

What do you want to improve?

Energy and driveRecovery and sorenessBody compositionHormone optimizationSleep qualityLongevity markers

Training days per weekAverage sleepPrimary outcome

Step 03

Symptoms and medical history

Current symptoms

Low energyPoor sleepBrain fogReduced libidoSlow recoveryWeight gainMood changesTraining plateau

Medical history flags

Heart disease or chest painHigh blood pressureCancer historyBlood clot historyLiver or kidney diseaseDiabetes or pre-diabetesSleep apneaNone of these

Current medicationsPrior hormone / peptide therapy

Step 04

Labs and biomarker context

Do you have lab work from the last 90 days?

YesNoI can order labs

Known markers available

Total testosteroneFree testosteroneEstradiolSHBGA1cApoBhs-CRPVitamin D

Recent lab reportKey abnormal markers

Step 05

Review and submit

I understand this questionnaire does not guarantee care or prescription approval.A provider must review eligibility before any treatment path is approved.I consent to clinical review of my intake information.I understand Life Lab MD may contact me about next steps, records, consult payment, and clinical review.

Submitting your intake starts the review path. Treatment is not approved until eligibility, labs, and medical history are reviewed.

Private intake

Unlock your intake.

Enter email or mobile to continue. Your intake stays private and helps the clinical team understand your goals before any consult decision.

01Contact

02Intake

03Review

Preferred first consult

$49$199

Applied to your first month if care proceeds. The full intake opens after this step. No symptoms, labs, or medical history are collected here.

Email address

Mobile number

By continuing you agree to our Terms and Privacy Policy, and consent to receive emails and, if you enter a mobile number, text messages about your consult. Consent is not a condition of purchase. Message and data rates may apply. Reply STOP to opt out.

No health information is collected in this step.

Personalized performance medicine. Physician-led care. Lab-guided decisions.

Science guides us. Clinical review protects the process.

Care

Protocols
Membership
The consult
Questionnaire

Clinic

Clinical team
How it works
Partnerships
Trust and legal

Contact

hello@lifelab.md
786.355.0198

Information on this site is for educational purposes and is not medical advice. A physician-patient relationship is formed only after consultation and provider acceptance. Prescriptions are issued only when clinically appropriate. Compounded medications are not FDA-approved.