Contact Us
Start Your Weight Loss Intake
Share your goals, medication history, and key health details so our team can review next steps and send secure EMR forms when needed.
Guided intake
Intake Questionnaire
Use the guided intake to move through weight loss goals, GLP-1 history, and related health conditions in short, focused steps.
Phone: (706) 225-9201
Email: LEO@myhealthkeys.com
If additional secure documentation is needed, we will send it through PracticeQ / IntakeQ after review.
Guided Intake
Begin your confidential intake.
Answer a short step-by-step questionnaire so our team can review your goals, BMI, medication history, and safety information before follow-up.
Format
5
focused steps
Follow-up
Secure EMR routing
Five guided steps instead of one long form
BMI, GLP-1 history, and risk factors reviewed up front
Secure EMR follow-up after submission
Intake flow
You will move through each step in order.
The intake covers contact information, BMI, goals, medication history, and final safety review before submission to the practice.
Contact details
How we can reach you
Weight loss screening
Goals, BMI, and screening basics
Medication and labs
Medication history and recent care
Medical history
Medical conditions and family history
Review and submit
Final safety review and submission