Pure Alchemy Wellness:
Get Started

Welcome to your personalized wellness journey.

Please complete the form below so our clinical team can safely build a custom treatment plan tailored to your health history, goals, and lifestyle.

Step 1: Basic Information

Let’s get to know you..
Your answers help us determine eligibility and customize your care. .

Step 2: Physical Details

Step 3: Medical History – Conditions Checklist

Step 4: Medications, Conditions, & Allergies

Step 5: Current GLP-1 Use

Step 6: Pregnancy & Breastfeeding Status

Step 7: Upload Identification & Labs

Step 8: Informed Consent – GLP-1s, Peptides, NAD+

Please read and acknowledge the following before proceeding.

Potential Benefits:

  • Appetite control or fat loss
  • Increased energy and cognitive clarity
  • Better sleep, libido, and mood
  • Enhanced recovery and anti-aging support

  • Potential Risks:

  • Nausea, headaches, GI upset
  • Hormonal or metabolic effects
  • Allergic reaction
  • Fatigue or flu-like symptoms
  • Step 9: Truthfulness Certification

    Step 10: Shipping Address

    Step 11: Services

    Testimonials

    See What Our Clients are Saying