• Skip to primary navigation
  • Skip to main content
  • Skip to footer

Boston Medical Group Telemedicine

Call Us!
(800) 337-7555

Book a virtual appointment

Call to Refill Your ICP Now 800 337 7555
  • Erectile Dysfunction
  • Premature Ejaculation
  • Weight Loss
    • Weight Loss Injections Guide
  • Treatment Options
  • About Us
  • Blog
  • Contact
Name
Gender
This field is hidden when viewing the form
Your total weight in Pounds
BMI is [pounds/(inches)(inches)]x 703 and is pre-calculated for your convenience
A BMI > 30 would qualify for treatment approval
Date of Birth

Medical History

Personal or Family History of

Are you currently pregnant, any chance that you may be pregnant, or breastfeeding?
When (or what year) was your most recent gynecological exam?
MEN2
Medullary Thyroid Cancer

Past or Current personal history of

Pancreatitis
Retinopathy

The above 4 conditions represent contra-indications to using GLP-1 and would exclude the approval of this medication

Note: Your last medical checkup of less than 12 months is necessary for approval of any prescription approval
This field is for validation purposes and should be left unchanged.

Footer

About BMG

The Boston Medical Group Telemedicine is a Men’s Health online network dedicated to research and treatment for Erectile Dysfunction and Premature Ejaculation.
• • • • • • • • • • • • • • • • • • • • • •

BMG Logo Telemedicine Blue

Corporate Office

Boston Medical Group Telemedicine
3152 Red Hill Ave. Ste. #280
Costa Mesa, CA 92626

Latest Blog

Shockwave Therapy vs. ED Injections: Which Treatment Works Best?

Shockwave Therapy vs ED Injections: Which Treatment Works Best?

by Boston Medical Group, May 14, 2025

Erectile dysfunction (ED) affects millions of … Read More > about Shockwave Therapy vs ED Injections: Which Treatment Works Best?

Follow Us

  • Facebook
  • Twitter
  • Instagram
  • Youtube
  • Linkedin

Sign up for offers

  • This field is hidden when viewing the form
  • This field is for validation purposes and should be left unchanged.

© 2025 Boston Medical Group Privacy Policy Terms of Use