Schedule your appointment

Please complete the form below to begin your journey with VERTO. Once submitted, you’ll receive a welcome email, and we’ll follow up within 24 hours to get you scheduled for your initial call.

Thanks for taking the first step. We’re excited to work with you.

New Client
Intake Form:

Name

First Name

Last Name

Phone Number

DOB:

Current Supplements and/or Prescription medications

Please include any prescription (or non-prescribed) medications, and supplements. Be as detailed as possible.

Current diet

If you're following a specific plan, please list it out here. If you don't have a plan you're following- just list your average day of eating.

Current training/exercise plan

If you follow a specific training split or program, list the details here. If not, simply share what types of exercise you do and how often (including activities like walking).

Occupation

Please include if this job requires you to be on your feet often or if this is a more sedentary job.

Physique Goals

Ongoing Health Concerns/ Existing Diagnoses

Ex: High Blood Pressure, High Cholesterol, Diabetes (or Pre-Diabetic), Cancer (if so, what kind?) etc...

Height

Weight

How did you hear about Bryson/LIAG Health?

What service(s) are you interested in?

Address

Anything else I should know before our call?

Stay in the loop!

Monthly insights on hormones, peptides, training, nutrition, and more — straight to your inbox. Thanks for being part of LIAG. Life is a gift.

Schedule your appointment

New Client Intake Form:

Stay in the loop!

bryson@liaghealth.com

New Client
Intake Form: