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Suga.health — Confidential patient intake

01 What brings you in today?

Choose one. Your doctor will look at the whole picture.

Full name

Your doctor sends your plan here.

Phone number

Used only if your doctor needs to reach you about your care.

Age

Sex at birth

Your doctor needs this to prescribe safely — some medicines work differently depending on it.

All three start with the same consultation — your doctor tailors everything after this.

Height and weight let your doctor calculate safe starting doses.

Units

Height (cm)

Weight (kg)

This is where your doctor earns their keep — the more complete, the safer your plan.

Current medical conditions

No current medical conditions

Surgical history (optional)

Family history (select any that apply)

Anything to add about family history? (optional)

Include supplements and anything over the counter — interactions matter.

Current medications

I do not take any medications

Allergies

Medicines, foods, anything — your doctor checks every prescription against this list.

One honest note, three boxes, and it goes to your doctor.

Anything else your doctor should know? (optional)

A licensed physician reviews every consultation, usually within 24 hours.