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Empowered RX Mentorship Intake

  • 10Steps


Welcome to the Empowered RX intake process. This process will allow us to get to know you and your medical history in addition to your goals with our program. We will also be collecting information integral to the Treatment Team Collaboration Process. Please fill out all forms to the best of your availability and if you have any questions feel free to reach out at We are grateful to be starting this journey with you and look forward to getting to know you better!

You can also join this program via the mobile app. Go to the app




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