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PERSONAL INFORMATION

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CONTACT PREFERENCES

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HEALTH PROFILE ASSESSMENT

This information allows us to calculate precise treatment protocols
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HEALTH PROFILE ASSESSMENT

What is your biological sex?

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HEALTH PROFILE ASSESSMENT

Are you currently pregnant or breastfeeding?

Are you currently trying to conceive, or do you intend to conceive in the next 12 months?

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Have you received, or are you receiving hormone replacement therapy?

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HEALTH PROFILE ASSESSMENT

What is your gender identity?

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HEALTH PROFILE ASSESSMENT

Please indicate if you have ever been diagnosed with:
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LIFESTYLE ASSESSMENT

Have you received gene therapy within the last 12 months?
How many hours of sleep do you typically get?
Rate your typical quality of sleep:
Rate your typical level of stress:
How many times per week do you engage in physical activity? 

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LIFESTYLE ASSESSMENT

What is your primary diet?

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LIFESTYLE ASSESSMENT

How much water do you consume per day (in oz)?
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How often do you consume alcohol?
How many servings (cups) of caffeine to you consume per day?
Describe your tobacco use:
How many hours do you spend on a digital device per day?
How many hours per week are you exposed to the sun?

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AESTHETIC & WELLNESS OBJECTIVES

Please select your highest priority in the next step of your wellness journey:

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AESTHETIC & WELLNESS OBJECTIVES

Based on your priorities, we highly recommend
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Exosome Therapy

Monad, our exclusive and revolutionary exosome therapy, delivers remarkable aesthetic and wellness benefits. Derived from Wharton's Jelly, these specialized nano-sized vesicles stimulate skin regeneration and repair, visibly reducing fine lines and enhancing collagen production for a naturally youthful appearance. Clinical studies demonstrate that exosome treatments significantly increase hair follicle density and shaft thickness, providing noticeable improvement for those experiencing thinning hair. The powerful anti-inflammatory properties of our exosome therapy help reduce chronic inflammation throughout the body, alleviating joint discomfort and improving overall skin clarity and tone. Experience the future of aesthetic medicine in our luxury medical suite, where cutting-edge science meets uncompromising comfort to revitalize your appearance and well-being at the cellular level.

Treatment costs range from $5,000 to $10,000, and we kindly request a $500 deposit to begin the booking process.

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AESTHETIC & WELLNESS OBJECTIVES

Based on your priorities, we highly recommend
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Follistatin Gene Therapy

As a Minicircle partner, Teleios administers their exclusive follistatin gene therapy, delivering remarkable benefits for those seeking physical optimization. Experience dramatic increases in lean muscle mass and strength while enjoying reduced body fat—all without additional exercise requirements. Recipients report enhanced metabolic function, improved joint health, reduced inflammation, and decreased pain sensitivity. Particularly beneficial for addressing age-related muscle loss, this cutting-edge treatment helps maintain physical vitality and performance at any age. Discover the transformative potential of next-generation cellular technology in our luxurious medical suite, where exceptional results meet uncompromising comfort.

Treatments are $25,000, and we kindly request a $2,000 deposit to begin the booking process.

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AESTHETIC & WELLNESS OBJECTIVES

Please select the areas on which you would like to focus (select all that apply)
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SCHEDULING PREFERENCES

What are your preferred treatment days (select all that apply)?
What are your preferred treatment times (select all that apply)?
Please select up to three date ranges that would work best with your schedule.
Please select a date.
Please select a date.
Please select a date.

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LET US KNOW

How did you learn about Teleios?

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REFERRAL INFORMATION

We'd love to thank the person who referred you! Please provide their name and contact information:
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DEPOSIT

Secure Your Experience


We require a $500 deposit to book your appointment, which reserves your preferred dates while our team prepares to create your tailored experience. This deposit represents our commitment to delivering exceptional service that meets your high standards. We value your trust and look forward to exceeding your expectations.

Book Your Appointment Now


SCHEDULING PREFERENCES

What are your preferred treatment days (select all that apply)?
What are your preferred treatment times (select all that apply)?
Please select up to three date ranges that would work best with your schedule.
Please select a date.
Please select a date.
Please select a date.

Book Your Appointment Now


LET US KNOW

How did you learn about Teleios?

Book Your Appointment Now


REFERRAL INFORMATION

We'd love to thank the person who referred you! Please provide their name and contact information:
Please specify an answer

Book Your Appointment Now


DEPOSIT

Secure Your Experience


We require a $2,000 deposit to book your appointment, which reserves your preferred dates while our team prepares to create your tailored experience. This deposit represents our commitment to delivering exceptional service that meets your high standards. We value your trust and look forward to exceeding your expectations.

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We're delighted to begin your Teleios journey.

Your dedicated Client Coordinator will contact you within 24 hours to discuss potential appointment dates, learn more about your wellness goals, and answer any questions you may have about your upcoming visit.

We'll provide you with 3-5 potential date ranges that best accommodate your treatment needs and your schedule.

Your Client Coordinator will guide you through all remaining steps in the process during your welcome call.

Welcome to Teleios.

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