Medspa

Natural & non-invasive treatments to help you live optimally

480 - 398 - 8301

Optimizing Hormones, Weight Loss, Ketamine & ED Solutions

Schedule a Consultation

Erectile Dysfunction

Weight Loss Program

Hormone Therapy

Whether you are near or far from us we want to help! Fill out this form and let's get you on the schedule!

Choose Your Preferred Treatment *

Ketamine Therapy

Medical Weight Loss

Hormone Therapy

Sexual Health

O-Shot Therapy

Aesthetic Treatments

What are you primarily seeking treatment for? *

Depression

Anxiety or Panic Attacks

PTSD (Post-Traumatic Stress Disorder)

Chronic Pain

OCD (Obsessive-Compulsive Disorder)

Other

What is your primary goal for seeking a medical weight loss program? *

Losing a Significant Amount of Weight

Getting Rid of the Last 10-20 Stubborn Pounds

Improving a Weight-Related Health Condition (e.g., Diabetes, Blood Pressure)

I've Tried Everything Else Without Success

Other

Choose Your Path to Wellness *

Female Hormone

Male Hormone

What are your main reasons for considering Female Hormone Replacement Therapy (BHRT)? *

Mood Swings / Irritability / Anxiety

Low Libido / Vaginal Dryness

Stubborn Weight Gain / Slow Metabolism

Brain Fog / Poor Memory

Fatigue / Poor Sleep

Other

What are your main reasons for considering Male Hormone Therapy (TRT)? *

Low Energy / Chronic Fatigue

Decreased Libido / Erectile Dysfunction (ED)

Loss of Muscle Mass / Increased Body Fat

Lack of Motivation / "Brain Fog"

Moodiness / Irritability

Poor Sleep Quality

Other

Choose your sexual healing path *

P-Shot

Acoustic Wave Treatment

What are your primary reasons for considering the P-Shot®? *

Treating Erectile Dysfunction (ED)

Enhancing Erection Firmness & Stamina

Improving Penile Sensitivity

Treating Peyronie's Disease

General Performance Enhancement

Other

What is your primary goal for seeking Acoustic Wave Therapy? *

A Drug-Free Solution for Erectile Dysfunction (ED)

Improving Erection Quality & Hardness

A Solution for Peyronie's Disease

Optimizing Sexual Performance & Spontaneity

Other

What are your main reasons for considering the O-Shot®? *

Enhancing Sexual Pleasure / Orgasm

Improving Urinary Incontinence / Bladder Control

Reducing Pain During Intercourse / Dryness

Increasing Libido / Sexual Desire

General Rejuvenation & Wellness

Other

Choose your desired aesthetic path *

Microneedling

Chemical Peel

What is your primary skin concern you'd like to address with Microneedling? *

Acne Scars / Surgical Scars

Fine Lines & Wrinkles

Enlarged Pores

Uneven Skin Texture

Sun Damage / Dark Spots

Other

What are you most hoping to achieve with a Chemical Peel? *

Treating Active Acne & Blackheads

Reducing Sun Damage & Dark Spots

Smoothing Uneven Skin Texture

Brightening a Dull Complexion

Softening Fine Lines

Other

Enter your Name *

Enter your Phone Number *

Enter Your Email Address *

DOB

Gender As Assigned at Birth *

Male
Female
Non-binary
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