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SimpleFixRx is Currently Not Available in Your State

We're sorry, but SimpleFixRx is currently not available in your selected state. Please reach out to support@simplefixrx.com. We may still be able to help you get the prescription you are looking for!

Medical History

What are your weight loss goals?*
What weight loss initiatives have you tried in the past? Select all that apply*
Have you seen a doctor in the past 12 months?*
Have you been diagnosed with any of these conditions?*
How often do you exercise?*
Which of the following weight loss medications have you tried?*
Have you had serious issues with gallbladder within the past 12 months? *
Have you been diagnosed with inflammation of your pancreas (pancreatitis) in the past 6 months?
Have you been diagnosed with kidney disease in the past 12 months? *
Do you have sleep conditions such as sleep apnea?*
Are you on hormone therapy?*
In the past 12 months, I...*
Have you ever been diagnosed with medullary thyroid cancer or MEN syndrome?*
Do you have an active eating disorder?*
Are you currently pregnant or breastfeeding? GLP-1 cannot be taken while breastfeeding.*
Are you planning on getting pregnant in the next year?*
Do you have type 1 diabetes*
Are you currently struggling with substance abuse or dependency problems?*
Have you had bariatric surgery within the past 18 months*
Have you visited us before?
Which type of consultation would you prefer?*

***Important Notice:

New compliance measures require all new (or) returning patients seeking an increase in their medication to schedule a call with a physician. If you are a new patient, or are seeking an increase in your dose, you will be directed to schedule your online doctor consult immediately following your payment. If answered incorrectly, requested medication could be delayed (or) your order could be canceled and payment refunded. For any question, please contact support@simplefixrx.com

Weight Management Rx History

Did any of the following side effects cause you to discontinue treatment?*
Did you previously purchase your weight loss medication from SimpleFix?*
What was the ending medication and strength of your previous treatment?*
What was your most recent medication/dosage strength?*
Would you like the strength of your prescription increased?*
Studies shows adding B12 can help reduce nausea and increase energy. Is feeling energetic important to you?*
If Yes, would you like us to add a b12 to your request?*
Adding glycine to your weight lost regime it can help muscle retention. Is muscle retention important to you?*
Have you had gastrointestinal issues or nausea while on GLP-1 medications?*
If Yes, would you like us to add nausea medication to your request?*

READ OUR TERMS & CONDITIONS POLICY

TELEMEDICINE PATIENT CONSENT PURPOSE:

The purpose of "Telemedicine Consent Form" is to get the patient's consent in order to participate in appointments of telemedicine cares.

RECORDS: Telecommunications with patients will not be recorded and stored. Patients' medical information obtained by the diagnosis and analysis can be used anonymously for further improvements in scientific studies. TELEMEDICINE INFORMATION: The medical information related to history, records and tests of the patient will be discussed during the telemedicine appointment with video and audio.

ACCESS: The patient accepts that he/she needs access to PC, laptop, or mobile device and a good internet connection in order to have an efficient telemedicine appointment. PATIENT RIGHTS: The patient can withdraw his/her consent at any time and can ask the questions related to telemedicine appointments and technical requirements for telecommunication. By signing this form, I understand that all the laws that are protecting my privacy of medical history or information are also applied to telemedicine practices. I understand that I can withdraw the consent at any time and that will not affect any of my future treatment procedures. I understand that I can be charged the additional fees that my insurance does not cover. I accept that I authorize health care professionals and use telemedicine for my treatment and diagnosis.

I agree to terms and conditions*
By using SimpleFix you are consenting to the practices described in the privacy policy*

Sign & Consent

By signing here, you agree that you have read HIPAA, telemedicine consent, Disclosure and agree that you are the individual in DL and Photo. SimplefixRx uses CareValidate for medical decisions and patient care.
Clear Signature

Shipping & Billing Information

Shipping Address*
Billing Address*

Requested Rx

Important Update on Tirzepatide

Tirzepatide is no longer on the FDA shortage list and is now commercially available. Due to this, compounded Tirzepatide is no longer permitted.

For Existing Patients:

If you’ve been successfully using Tirzepatide and wish to continue your treatment, we can still help you get the prescription you need. Contact us at support@simplefixrx.com or text 682-245-2031, and our team will guide you through your options.

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Product Options - Elysium Pharmaceuticals*
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Product Options - Red Rock*
Product Options*
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Product Options - RxCompound Store*
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Product Options - Specialty Rx Care*
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Product Options - Specialty Rx Care*
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Product Options - Luxe*

Available Add-ons (Optional)

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Anti-Nausea Medication
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Anti-Nausea Medication
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B12
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Phentermine
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NAD - Anti-Aging
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B12
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Phentermine
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NAD - Anti-Aging
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Hydration Honey PM Moisturizer


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Royal Hive Anti-Aging Body Oil


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Royal Hive Daily Moisturize with Zinc Oxide


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Royal Honeycomb Body and Hair Smoothing Balm


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Anti Acne Facial Polish


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Hydration Honey Decolletage


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Hydration Honey Body


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Blending Nectar Foundation


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Blending Nectar Tinted SPF Liquid


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Shipping Options

Please allow 4 days (48 hours for the physician, 48 hours for the pharmacy) to review and process your order.
Shipping*
SimpleFixRx is not liable for packages lost or stolen during transit. Once your order is handed over to the carrier, both the carrier and you are responsible for the package. To ensure your package during transit, please select the second shipping option, which includes insurance for an extra $10.

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    Supported Credit Cards: American Express, Discover, MasterCard, Visa
    Expiration Date
     
    Contact

    6160 Warren Parkway Ste 100
    Frisco, TX 75034

    support@simplefixrx.com

    If you have questions or concerns about your health, please talk to your doctor.

    Evolving Medical Integration SVSC, LLC DBA SimpleFix is an online platform that works with independent physicians and practitioners, pharmacies. Evolving Medical Integration SVSC, LLC DBA SimpleFix does not directly provide medical or pharmacy services and payment does not guarantee the writing or dispensing of a prescription. Medical Services are provided via independent providers.

    Copyright 2025 © SimpleFixRX
    Privacy Policy | Terms & Conditions
    • HOME
    • PRODUCTS
      • GLP SQUARED
      • WEIGHT LOSS
      • NAD+
      • NAUSEA
      • B12-INJECTION
      • ROYAL HIVE SKINCARE
      • SIMPLE RESET
    • ABOUT
    • FAQ
    • BLOG

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