UGC Automated Treatment Application

---

PLEASE READ BEFORE YOU START: Due to increased demand, we are limiting our services to clients who are serious about seeking help and are ready to begin treatment immediately. If you would like our advice on which protocol is best for your specific situation, please complete the form below.

Now get your recommendation IMMEDIATELY!
​Instructional Video ----------->

MAKE SURE YOU HIT "SUBMIT" AFTER YOU GET THE 
RECOMMENDATION, SO WE CAN HAVE A RECORD OF
THE PROGRAM WAS RECOMMENDED FOR YOU!

---

If you are experiencing complications completing the below application and receiving your recommendation, 
please contact an online support agent by texting 678-824-2873

---

MAKE SURE YOU HIT "SUBMIT" AFTER YOU GET THE RECOMMENDATION, 
SO WE CAN HAVE A RECORD OF WHAT PROGRAM WAS RECOMMENDED FOR YOU!

---

If you are experiencing complications completing the above application and receiving your recommendation, 
please use the Manual Treatment Application to receive your recommendation. 
Please note, it may take 2-3 days to receive your recommendation using this method.

---

Disclaimer: This Personal Health Assessment is a non-scientific, non-medical questionnaire intended solely to increase our mutual awareness of your current health status. If you have any questions regarding your health, please contact your healthcare provider. The information you provide will be used exclusively to advise you on the appropriate treatment and program related to our protocols. By completing and submitting this assessment form, you authorize us to review the provided information confidentially and recommend the program we believe is best suited for you. Please note, we are not doctors and do not guarantee any results based on the information provided.