Modern Thyroid Clinic

Weight Loss Order Forms


Please select your MTC status below to view your eligible order forms for Semaglutide & Tirzepatide.

For Modern Thyroid Patients' who have established care with one of our clinicians, and are also members of our Weight Loss Program. 

For participants outside of Modern Thyroid Clinic who are ONLY enrolled into our Weight Loss Program, and do NOT have an MTC provider.