Medical Enrollment Agreement

This is the medical enrollment form. Please choose the services below that you have an interest in. After enrollment you will speak to one of our doctors, at which point they will help determine the safest and most effective course of action.

Before you can recieve medical services:

  1. Enroll for services
  2. Fill out client identification info
  3. Complete medical intake forms
  4. Consult with a doctor via Telemed appointment

Click below to affirm the following:

  • I agree to consult with a physician
  • I understand and agree that I will not recieve any services until I recieve a prescription
  • I affirm that I am at least 18 years old

Amino-B12 Therapy

Consult with the doctor about: Amino-B12 Therapy

The Amino-B12 therapy is great for individuals who want a boost in their performance, as well as a boost in metabolic rate and blood flow. The ingredients in the Amino-B12 are designed to work synergistically for a powerful effect. We recommend administering 1-2 shots per week, as needed to increase performance.

Benefits of B12

  • Increased Performance
  • Increased Stamina
  • Improved Energy
  • Improved Mood
  • Metabolic Support
  • Better Blood Circulation

Ingredients

Concentrations per mL

  • Glutamine 30mg
  • Ornithine 50mg
  • Arginine 100mg
  • Lysine 50mg
  • Citrulline 50mg
  • Methylcobalamin (B12) 1000mcg
  • Lidocaine 10mg

8350 W Grandridge BLVD.
STE 200 #417

Kennewick, WA 99336