About you

Let's get started

Takes about 10 minutes — your progress saves automatically. All information is kept strictly confidential.

Sex assigned at birth * Date of birth *

Complete the fields above to continue

About you

Your body metrics

We use these to calculate your BMI — one of the factors your physician reviews.

Height *

Current weight *

About you

Where you live

Your physician must be licensed in your province.

Province * Ethnic background

This is optional. Research shows that body composition and health risk thresholds vary by ethnic background.

Your answers stay private. They're reviewed only by licensed Canadian physicians, and our screening follows the Obesity Canada clinical practice guidelines.

Health history

Safety screening

Do any of the following apply to you or your family? Select all that apply. These help us ensure your safety.

These make GLP-1 medications unsafe

Personal or family history of medullary thyroid cancer or MEN2 syndrome

Currently pregnant

Currently breastfeeding

Actively trying to conceive

Diagnosed with gastroparesis (stomach paralysis)

End-stage kidney disease (on dialysis)

Your doctor will review these carefully

History of pancreatitis

History of gallstones or gallbladder removal

Type 1 diabetes

History of an eating disorder (anorexia, bulimia, binge eating)

Cancer diagnosis or treatment within the past 5 years

Heart failure

Do you know what type of heart failure you have?

Heart failure with preserved ejection fraction (HFpEF)

Heart failure with reduced ejection fraction (HFrEF)

I don't know

None of the above

Select at least one option to continue

Health history

Your health profile

Have you been diagnosed with any of the following? Select all that apply.

Cardiometabolic

Type 2 diabetes or prediabetes

High blood pressure

High cholesterol or triglycerides

Heart disease or history of heart attack / stroke

Sleep apnea

Hormonal & Metabolic

Polycystic ovary syndrome (PCOS)

Thyroid disorder (hypo / hyperthyroidism)

Fatty liver disease (NAFLD / NASH)

Cushing's syndrome

Other

Chronic kidney disease

Liver disease or cirrhosis

Organ transplant

None of the above

Select at least one option to continue

Health history

Your medications

This helps your physician check for interactions.

Are you currently taking any medications?

Yes

No

Please list your current medications Start typing a brand name (e.g. "Ozempic") or generic name (e.g. "metformin"). Pick the matching strength, or press Enter to add an item that isn't in the list.

Health history

GLP-1 experience

Past experience helps your physician choose a starting dose.

Have you used a GLP-1 medication before?

No, never

Yes, currently taking one

Yes, but I stopped

Which GLP-1 medication?

Please specify the medication name

Dose (e.g., 0.5mg weekly) How long did you use it?

Why did you stop?

Please specify

Answer the question to continue

Your goals

Almost there

Tap the answer that fits best — you'll move on automatically.

What are your weight loss goals?

Lose 10–25 lbs

A moderate, achievable target

Lose 25–50 lbs

A significant health transformation

Lose 50+ lbs

A comprehensive weight loss journey

I just want to be healthier

Focus on overall wellness

Your goals

One more thing

How is your weight affecting your daily life?

Limited physical activity

Low energy and poor sleep

Affecting my confidence and mental health

Health concerns raised by a doctor

All of the above

You're almost done with the screening. Your eligibility results are next.

Your eligibility results

Based on your answers, here's what we found.

Great news — you appear eligible for GLP-1 therapy

Based on your answers, you may be a good candidate for physician-guided GLP-1 weight loss treatment.

Your Profile Summary

BMI —

Age —

Goal —

Province —

What Happens Next

1

Create your account — 1 minute

Secure, PIPEDA-compliant. Your answers are saved automatically.
2

Complete your health profile — 5 minutes

Medical history, medications, and lifestyle — so your physician has the full picture.
3

Physician reviews your case — within 24 hours

A licensed Canadian physician will review and reach out to discuss your treatment plan.

Join 13,500+ Canadians who've started their journey

Create your account

Your answers are saved. Create an account to continue with your clinical assessment.

First name

Last name

Email address

Password

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Health & lifestyle

Your health history

Tell us about your weight history and lifestyle habits.

In the past 3 months, have you experienced unintentional weight change of more than 10 lbs?

Lost weight

Gained weight

No significant change

Do you smoke or use tobacco products?

Currently

Previously

Never

What is your typical weekly alcohol consumption?

None

1–3 drinks

4–7 drinks

8–14 drinks

15+ drinks

Do you use cannabis or other recreational substances?

Yes, regularly

Occasionally

No

Answer all questions to continue

Health & lifestyle

Mental health check-in

These questions help your physician provide comprehensive care.

Over the past 2 weeks, how often have you felt down, depressed, or hopeless?

Not at all

Several days

More than half the days

Nearly every day

Over the past 2 weeks, how often have you had little interest or pleasure in doing things?

Not at all

Several days

More than half the days

Nearly every day

Have you ever been diagnosed with or treated for any of the following?

Depression

Anxiety

PTSD

ADHD

Bipolar disorder

None of the above

Do you feel your eating patterns are driven by emotions rather than hunger?

Rarely or never

Sometimes

Often

Almost always

Answer all questions to continue

Health & lifestyle

Reproductive health

This information helps ensure medication safety.

This step is shown because you indicated female sex at birth.

What is your current reproductive status?

Currently using contraception

Not using contraception but not trying to conceive

Post-menopausal

Prefer not to say

What type of contraception do you use?

Oral contraceptive (the pill)

IUD

Implant (Nexplanon)

Injectable (Depo-Provera)

Patch or ring

Barrier method (condoms)

Other

Answer the question to continue

Your details

We need your address for prescription delivery and a preferred pharmacy.

Street address *

Unit / Apt

City *

Province *

Postal code *

Personal Health Number (PHN) (optional)

Only needed for insurance coverage — you can add it later.

Preferred pharmacy

Optional

Search for a pharmacy near you for medication pickup.

I don't have a preferred pharmacy

Waist circumference (optional)

Measuring your waist helps your physician assess health risk more accurately. No tape measure handy? Just skip this.

Complete all fields to continue

Your journey

Past weight loss attempts

Understanding your history helps your physician create a personalized plan — and documents prior attempts for insurance coverage.

What weight loss methods have you tried before?

Diet changes (keto, calorie counting, intermittent fasting)

Exercise and fitness programs

Weight loss supplements or shakes

Commercial programs (Weight Watchers, Noom)

Prescription medication (non-GLP-1)

Bariatric surgery

I haven't tried anything yet

How long did your longest attempt last? *

Select at least one option to continue

Treatment plan

Treatment commitment

Understanding your expectations helps your physician guide your care.

Almost there. Just this and the consent step left.

Do you understand that GLP-1 medications work best combined with healthy eating and physical activity?

Yes, I'm committed to lifestyle changes

Yes, but I may need support

I'm not sure I can make lifestyle changes

I want to discuss this with the physician

Answer the question to continue

Treatment plan

Do you have a medication in mind? (optional)

A preference is not a prescription — your physician will recommend what's medically appropriate for you.

No preference — let my doctor recommend

Your physician picks the best fit for your health profile

Semaglutide (generic) New · Lower cost

Same active ingredient as Ozempic · weekly injection · typically 50%+ cheaper

Ozempic

Semaglutide · weekly injection

Wegovy

Semaglutide · weekly injection

Mounjaro

Tirzepatide · weekly injection

Rybelsus

Semaglutide · daily tablet — no injections

Contrave

Naltrexone/bupropion · daily tablet (non-GLP-1)

Orlistat (generic)

Capsule taken with meals (non-GLP-1) · lower cost

Consent

Almost done

Please review and confirm the following before we submit your assessment.

Government-issued photo ID

Required

Upload a photo of your driver's licence, passport, or health card. This is required to verify your identity before a physician can review your case.

Click to upload or drag and drop

JPG, PNG or PDF · Max 10MB

Full-body standing photo

Optional

If you'd like, upload a photo of yourself standing sideways (profile view) with your arms extended parallel to the ground — it can help your physician assess body composition. You can skip this; your doctor may request one later if needed.

Photo guidelines:

Stand sideways (profile view)
Arms extended parallel to the ground
Full body visible (head to feet)
Well-lit, plain background preferred

Click to upload or drag and drop

JPG or PNG only · Max 10MB

Telehealth consent

I understand this is a telehealth consultation with limitations compared to in-person care.

Data accuracy

All information I have provided is truthful and complete to the best of my knowledge.

Medication risks

I acknowledge GLP-1 medications have potential side effects including nausea, vomiting, diarrhea, and rare serious complications.

Reporting commitment

I agree to report any concerning symptoms to my HOPE Health care team immediately.

Emergency understanding

I understand HOPE Health is not an emergency service. I will call 911 for medical emergencies.

Upload your photo ID and check all consent boxes

Assessment Complete — One Last Step

Your medical information has been saved. Activate your membership to connect with a licensed physician.

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Your assessment is complete!

A licensed Canadian physician will review your case within 24 hours. You'll receive an email confirmation shortly.

What happens next

1

Physician review

A licensed Canadian physician will review your assessment within 24 hours.
2

Secure messaging

Your physician will reach out via secure messaging if anything in your file needs follow-up.
3

Treatment plan

Your physician will create a personalized GLP-1 treatment plan.

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