Urick Internal Medicine is now offering compounded injectable weight loss medications to members and non-DPC members alike. Semaglutide (the active ingredient in both Ozempic, WeGovy and Rybelsus) and Tirzepatide (the active ingredient in Mounjaro and ZepBound).
To inquire or to find the HIPAA secure patient forms, please scroll below.
To inquire or to find the HIPAA secure patient forms, please scroll below.
INITIAL WEIGHT LOSS INTAKE FORM: For those interested in setting up your initial in offie appointment, please complete this form.
FOLLOW UP: For those already enrolled with our program and looking to refill your medical, please complete this form.
|
(C) 2024 Urick Internal Medicine, Samuel Urick III, D.O. All rights reserved
|
|