Board-Certified PhysiciansLab-Driven ProtocolsState-Licensed U.S. Compounding PharmaciesHIPAA CompliantTelehealth ConveniencePhysician Oversight

Application

Five Minutes. Read by a Human.

Every application is reviewed personally within 24 hours. If you’re a fit, your lab order goes out that day. If you’re not, we’ll tell you why — before taking any payment.

Start Application

Before You Start

What You’ll Need.

Basic contact info

Name, email, phone, and your U.S. state of residence. Our affiliated physician network is licensed across all 50 states.

Current medical info

Organize any major medical conditions and current medications. Be honest — the physician uses this to confirm the program is safe for you.

Your symptoms

A short, honest read on what feels off. Energy, drive, recovery, sleep, mood. No need to be clinical — plain language is fine.

Five minutes of focus

The process is short but the questions are important. Plan for five minutes when you won’t be interrupted. Shortly after submitting your application and based on your preference, a member of our team will either coordinate a time for a brief phone call or send you a digital questionnaire.

Start Your Application.

What happens next: a care coordinator reads your submission within 24 hours and will contact you via your preferred method to complete our questionnaire. If you’re a fit, you’ll be invited to schedule the intake consult — your first charge happens after you confirm. If you’re not a fit, we’ll tell you honestly — before any payment.

First name *

Last name *

Email *

Phone *

Date of birth *

State of residence *

Communication preference *

Treatments you’re interested in *

I agree that the phone number and e-mail I am providing may be used to contact me by RestoreLab Health (including with auto-dialed/auto-selected and prerecorded calls and AI-generated communications, as well as text/SMS messages) and email with information and offers regarding my inquiry. Message and data rates apply, and my consent to such contact/marketing is not required for purchase or use of services.

By submitting, you confirm that you are 18 years of age or older and consent to be contacted about your eligibility for the RestoreLab Restoration Program. Treatment decisions are made solely by a licensed prescribing clinician exercising independent medical judgment. Completing this form does not guarantee qualification for treatment. All information is HIPAA-protected. RestoreLab does not share, sell, or market based on your data. View Informed Consent for Hormone Replacement Therapy.

After You Apply

What Happens, and When.

Within 24 hours

A care coordinator will contact you to guide you through the next steps. After you've completed our questionnaire, you'll hear back within 24 hours by email or phone — whether accepted or not. Declines come with a brief, honest explanation.

Within 3 business days

If accepted, you’re scheduled for a non-clinical onboarding call and issued a lab order for a LabCorp or Quest near you. No charges until the onboarding call.

Within 7–10 days

Baseline labs complete, physician consult done, protocol designed, custom-compounded medication shipped to your door in unmarked packaging. You’re on.

One more thing

Applying Is Not a Commitment.

No payment is taken during the application process. If you’re accepted, you’ll have a full onboarding call to ask questions and confirm the cost before any charge — you’re choosing whether to keep going at every step.

Start the Application