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PRIMAL ZONE MEDICAL REVIEW (ONGOING)

PRIMAL ZONE MEDICAL REVIEW (ONGOING)
$100
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Premium Primal Zone product selected for performance, recovery, and everyday use.
Free shipping on orders over $100 AUD. Final shipping rates are calculated securely at Shopify checkout.
Returns and refunds are handled in line with Primal Zone policies. Contact the team if you need help with an order.
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Your Details

LET'S START WITH
YOUR DETAILS

We'll use this to send your results and book your consultation.

Primary Goal

WHAT'S YOUR
PRIMARY GOAL?

Select the one that matters most to you right now.

Testosterone — 1 of 3

WHICH SYMPTOMS ARE YOU
EXPERIENCING?

Select all that apply to you.

Testosterone — 2 of 3

HOW LONG HAVE YOU
BEEN EXPERIENCING THIS?

Testosterone — 3 of 3

WHAT'S YOUR MAIN
GOAL RIGHT NOW?

Weight Loss — 1 of 2

HOW MUCH WEIGHT
DO YOU WANT TO LOSE?

Weight Loss — 2 of 2

WHAT HAVE YOU
TRIED SO FAR?

Select all that apply.

Performance — 1 of 3

WHAT WOULD YOU
LIKE TO IMPROVE?

Select all that apply.

Performance — 2 of 3

WHAT'S HOLDING
YOU BACK?

Select all that apply.

Performance — 3 of 3

WHAT'S YOUR TOP
PRIORITY RIGHT NOW?

Recovery — 1 of 3

WHAT TYPE OF INJURY
ARE YOU DEALING WITH?

Recovery — 2 of 3

TELL US MORE ABOUT
YOUR INJURY

0 10 5
Recovery — 3 of 3

WHAT'S YOUR
RECOVERY GOAL?

Assessment — 1 of 3

WHAT ARE YOU
EXPERIENCING?

Select all that apply.

Assessment — 2 of 3

WHAT HAVE YOU
TRIED SO FAR?

Select all that apply.

Assessment — 3 of 3

WHAT DO YOU WANT
TO ACHIEVE?

Select all that apply.

Medical — 1 of 5

CURRENT
MEDICATIONS

Please be honest — this helps our doctors prescribe safely.

Medical — 2 of 5

MEDICAL
CONDITIONS

Medical — 3 of 5

LIFESTYLE

Medical — 4 of 5

ACTIVITY &
EXERCISE

Medical — 5 of 5

SLEEP &
RECOVERY

TRT Screening — 1 of 4

BLOOD TEST
HISTORY

TRT Screening — 2 of 4

TRT
CONTRAINDICATIONS

Have you ever been diagnosed with any of the following?

TRT Screening — 3 of 4

CURRENT TRT
STATUS

TRT Screening — 4 of 4

FERTILITY
CONSIDERATIONS

Nutrition

NUTRITION &
DIET

Almost Done

WRAP UP

I consent to my consultation being recorded for quality assurance and clinical compliance purposes.
Consent

REVIEW & SIGN
CONSENT

Terms & Conditions

Telehealth Consultation

By proceeding, you consent to a telehealth consultation with a Primal Zone medical practitioner. This consultation may include discussion of your health history, symptoms, and treatment options.

Privacy & Data

Your personal and medical information will be stored securely in accordance with the Australian Privacy Principles and used solely for the purpose of providing medical care.

Treatment Acknowledgement

You acknowledge that any treatment prescribed is based on your honest disclosure of medical history. Withholding information may affect the safety of your treatment.

Cancellation Policy

Consultations cancelled with less than 24 hours notice may incur a cancellation fee.

I have read and agree to the Terms & Conditions above.
Identity Verification

VERIFY YOUR
IDENTITY

Required for prescription medications under Australian law.

THANK YOU!

Your assessment has been submitted. Our team will review your details and be in touch shortly to book your consultation.

Assessment Complete
Your information has been securely submitted
2
Doctor Review
A doctor will review your assessment within 24 hours
3
Book Consultation
We'll contact you to schedule your consultation
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Doctor Supervised
256-bit Encryption