ASRX — Get Started

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Let's get started.

Tell us a little about yourself. Your information is secure and never shared without your consent.

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

State *

Biological Sex *

♂ Male ♀ Female

Street Address *

City *

Zip Code *

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What brings you here?

Select all that apply. This helps us match you with the right licensed provider and treatment options.

Health Goals *

⚖️ Weight Loss / GLP-1

✨ Anti-Aging / Longevity

💪 Recovery / Performance

⚡ Hormone Optimization

❤️ Sexual Health

🧠 Cognitive Function

🛡️ Immune Support

🌿 General Wellness

Anything else you'd like us to know?

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Quick health screen.

These questions help ensure our platform is right for you. All responses are confidential.

Are you currently under the care of a physician? *

Do you have any of the following? (select all that apply)

Cancer

Heart Disease

Thyroid Disorder

Kidney/Liver Disease

Type 1 Diabetes

✓ None of the above

Are you currently pregnant or breastfeeding? *

Current medications (optional)

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One last step.

Please review and acknowledge the following before we proceed.

About ASRX: ASRX is a telehealth access and coordination platform operated by August Aisles LLC. We connect qualified individuals with licensed, independent telehealth providers. ASRX does not diagnose, prescribe, or provide medical treatment. All clinical decisions are made solely by licensed providers.

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You're almost in.

Review your information below before submitting. Once submitted, a care coordinator will reach out within 1–2 business days.

By submitting, you confirm all information is accurate. A licensed care coordinator will review your intake and contact you to discuss next steps. This is not a medical consultation.