PROpeptides and Arizona Sports Medicine use this questionnaire to better understand why patients are choosing peptide-based protocols, what goals they are attempting to achieve, what symptoms or conditions they are addressing, and how they respond over time. This information helps guide individualized protocol recommendations, provider follow-up, dosing optimization, and long-term internal clinical outcomes tracking.
By completing this questionnaire, you consent to PROpeptides and Arizona Sports Medicine reviewing, documenting, and utilizing your responses as part of your clinical record and internal outcomes tracking process. Your information will remain protected under applicable HIPAA privacy standards and internal practice oversight policies.
No personally identifiable health information will be sold or shared outside of direct healthcare operations, provider oversight, legally required disclosures, or authorized administrative review. Information may be reviewed in an aggregated or de-identified format for internal protocol analysis, educational review, dosing assessment, and quality improvement initiatives.
Completion of this form does not guarantee prescription approval, medical clearance, or peptide recommendation. Final treatment recommendations require direct provider review and clinical determination.
Patient Information
1. Primary Reasons for Seeking Peptide Therapy
Performance / Fitness
Weight Loss / Metabolic
Recovery / Wellness
2. Current Activity Level
3. Conditions or Symptoms to Improve
4. Top Measurable Goals
5. Duration of Symptoms or Goals
6. Previous Therapies Tried
7. Peptides of Interest
8. Follow-Up Only: Improvement Since Starting Therapy
9. Side Effects
10. Overall Satisfaction
Submitted information is securely routed to Arizona Sports Medicine administrative oversight for clinical review.
Alright, let’s keep it real - peptides are awesome, but they’re also still in the “experimental” category. While there’s a ton of promising research and a growing number of athletes using them for recovery and performance, they’re not FDA-approved for most uses. That means there’s some unknowns, and by accepting this package, you’re acknowledging that you understand the risks and are choosing to use them at your own discretion.
We’re not making medical claims, and this isn’t a magic fix—it’s a tool that can help with recovery, repair, and performance when used responsibly. As always, if you have any health concerns, talk to a medical professional (luckily, now you know a good one).
By moving forward, you’re saying, “Yeah, I get it,” and taking ownership of your health and performance choices.
Let’s get after it.
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The information on this site is intended for general knowledge and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or a qualified healthcare provider with any questions you may have about a medical condition or before beginning any new wellness protocol. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
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ProPeptides is a subsidiary of Arizona Sports Medicine PLLC
