Select Lipotropic Service

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

Lipo-C Fat Burner

Consult with the doctor about: Lipo-C

Lipo-C is a custom combination of lipotropic ingredients used to promote body fat reduction. Lipotropics may also promote lean muscle and body toning during weight loss protocols.

Benefits of Lipo-C

  • Reduces body fat tissue
  • Preserves lean body tissue (muscle)
  • Enhances energy and metabolism
  • Promotes hunger control

MICC Standard Dosages

  • Methionine – 25mg
  • Inositol – 50mg
  • Choline – 25mg
  • B12 (Cyano) – 333mcg

8350 W Grandridge BLVD.
STE 200 #417

Kennewick, WA 99336