We’ll use this to send your results and book your consultation. This assessment takes approximately 5 minutes to complete.
Date of Birth
DD / MM / YYYY
Shipping address for prescribed medication delivery
Select the one that matters most to you right now.
Would you like to add a secondary goal? (Optional — TRT only)
Select all that apply to you.
Symptoms
Select one option.
Select the one that matters most.
This helps us ensure safe treatment options.
Are you taking any prescription medications?
Any supplements, hormones, or peptides?
Select any that apply to you.
Liver conditions?
Kidney disease?
Cardiovascular disease?
Chronic pain conditions?
Mental health conditions?
Currently being treated?
Sleep apnoea?
Do you smoke or vape?
Recreational drug use?
Do you consume alcohol?
How many standard drinks per week?
What's your activity level at work?
How often do you exercise?
What type of exercise?
How many hours of sleep per night?
Any sleep difficulties?
Do you use any sleep aids?
TRT requires blood test verification.
Our panel is more comprehensive than a standard GP hormone test and includes:
Blood tests must be within the last 90 days (12 weeks) to be valid for TRT assessment.
Have you had blood tests in the past 12 weeks?
Were they taken before 10am?
Were they taken fasting?
Have you had two separate low testosterone results?
Have you ever been diagnosed with any of the following?
Are you currently on TRT?
Upload your pre-TRT blood results (optional)
This helps our doctors understand your baseline levels.
TRT can affect fertility. Please answer honestly.
Are you planning to conceive in the next 12-18 months?
Have you previously fathered a child?
Do you understand that testosterone can suppress fertility?
Would you like to discuss fertility-preserving options?
Upload your testosterone blood test results.
Do you have testosterone bloods from the last 12 weeks?
Upload your blood test results
PDF or images accepted (max 10MB).
Do you track calories or macros?
What best describes your diet?
Just a couple more questions.
Support & Check-ins
We generally check in with all patients every 6 weeks to let the medication settle in, but you'll always have contact with us if you need it sooner.
Required for telehealth prescriptions in Australia. Your details are encrypted and stored securely.
Medicare Card Details
Photo ID (Driver's Licence)
Upload a clear photo of the front of your driver's licence. This is used to verify your identity for prescription medications.
Select all that apply.
Previous approaches
Any of the following apply?
This helps us tailor the safest and most effective plan.
What have you previously tried for weight loss?
What's your training like right now?
Openness to clinical support
How long has this been bothering you?
Pain level today: 5/10
Have you tried anything so far?
How long has this been going on?
Select all that matter to you.
Please read the consent terms below. To continue, confirm your agreement and electronically sign.
Last updated: 28 December 2025
Primal Zone Pty Ltd (ACN 667 681 263) (we, us or our) provides a telehealth technology platform which connects you with medical practitioners for the assessment and, where appropriate, the treatment and management of conditions related to hormonal health (Platform).
These Terms and Conditions apply to your access and use of our Platform. By accessing or using our Platform, you agree to these Terms and Conditions. If you do not agree to these terms, please do not access or use our Platform.
To access and use our Platform, you must register an account (Account). When you register, we will ask you for your personal and health information. You agree that any information you provide during registration and any updates to it will remain accurate and complete.
You must keep your Account details (including your login and password) confidential and must not share them with any third party. You are responsible for all activity on your Account. If you become aware of any unauthorised access to your Account, you must notify us immediately.
Our Platform enables you to:
We do not provide medical advice directly. All medical decisions are made by independent, Australian-registered healthcare practitioners. Treatment is only provided where clinically appropriate and at the sole discretion of the prescribing practitioner.
Primal Zone is committed to providing a safe and respectful environment for our medical practitioners and staff. We maintain a zero-tolerance policy for behaviour that is antagonistic, aggressive, or abusive. This includes, but is not limited to, any form of harassment, threats, or intimidation via email, phone, or the Platform. If a patient is deemed to have violated these conduct standards, we reserve the right to immediately terminate their Account, cease treatment, and, where necessary, pursue legal action.
Medical practitioners who provide services through our Platform are independent healthcare providers. They are registered with AHPRA (Australian Health Practitioner Regulation Agency) and maintain appropriate professional indemnity insurance.
We do not employ the medical practitioners. Each practitioner makes independent clinical decisions about your care based on the information you provide and their professional judgment.
You agree to pay all fees associated with the services you request through our Platform. Fees are displayed in Australian Dollars (AUD) and include GST where applicable.
Consultation fees: Cover your telehealth appointment with a medical practitioner.
Pathology fees: Paid directly to the pathology provider.
Medication costs: Additional to consultation fees and payable when you order medications.
Payment is required at the time of service unless otherwise specified. We accept major credit cards and other payment methods as displayed on our Platform.
You may cancel a scheduled consultation with more than 24 hours notice for a full refund. Cancellations with less than 24 hours notice may not be eligible for a refund.
Once a consultation has taken place, consultation fees are non-refundable as the service has been provided.
Medications that have been dispensed and shipped cannot be returned or refunded due to health and safety regulations.
Please refer to our Refund Policy for full details.
All content on our Platform, including text, graphics, logos, images, software, and any other material (Content), is owned by us or our licensors and is protected by copyright, trademark, and other intellectual property laws.
You may not reproduce, distribute, modify, create derivative works from, publicly display, or otherwise use any Content without our prior written permission.
We collect, use, and disclose your personal and health information in accordance with our Privacy Statement. By using our Platform, you consent to our collection and use of your information as described in our Privacy Statement.
To the maximum extent permitted by law, we exclude all liability for any loss or damage arising from your use of our Platform, including (but not limited to):
Our total liability for any claim arising from these Terms or your use of our Platform shall not exceed the amount you paid to us in the 12 months preceding the claim.
Nothing in these Terms excludes or limits any consumer guarantees or rights you may have under the Australian Consumer Law that cannot be excluded by law.
You agree to indemnify and hold us harmless from any claims, losses, damages, liabilities, costs, and expenses (including legal fees) arising from:
We may suspend or terminate your access to our Platform at any time, without notice, if we believe you have breached these Terms or for any other reason.
You may close your Account at any time by contacting us. Closing your Account does not affect any rights or obligations that arose before termination.
These Terms are governed by the laws of New South Wales, Australia. Any disputes arising from these Terms shall be subject to the exclusive jurisdiction of the courts of New South Wales.
We may update these Terms from time to time. We will notify you of significant changes by email or through our Platform. Your continued use of our Platform after changes are posted constitutes acceptance of the updated Terms.
For questions about these Terms and Conditions, please contact us:
Primal Zone Pty LtdEmail: ignite@primalzone.com.auPhone: 1800 774 625
By submitting, you agree we may contact you about your results and next steps.
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