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GLP-1 Treatment Laboratory Testing Waiver

At our clinic, patient safety is our priority. Before starting GLP-1 medications such as semaglutide or tirzepatide , we recommend baseline lab tests to evaluate kidney and pancreatic function.

Recommended Lab Tests:

– Renal Function Panel – To assess kidney health.

– Lipase Test – To evaluate pancreatic function.

Purpose of Testing:

– Identify any health conditions that may increase risk.

– Support safe and effective dosage.

– Help personalize your treatment plan.

Important Notice:

While these tests are strongly recommended, you have the option to decline. By checking the box below, you confirm that:

– You have been informed of the benefits of baseline lab testing. – You understand that declining these tests may increase your risk of undetected side effects or complications. – You voluntarily choose to waive the recommended tests and proceed with treatment.

☐ I acknowledge the above and voluntarily waive the recommended lab testing for GLP-1 treatment. I accept full responsibility for this decision.

If you have any questions before proceeding, please contact your provider.



SpadeRx is a telehealth management platform that provides comprehensive support to healthcare professionals delivering virtual care. We streamline administrative and operational tasks so that our healthcare providers can focus on patient care. Payment does not guarantee that a medication will be prescribed or dispensed. The information on this site is intended solely for informational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. If you have any health concerns, please consult a qualified healthcare professional. This website is an advertisement for telehealth services, and all treatment or prescription decisions are made exclusively by the prescribing provider.

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