How SendSlim Works: Step by Step
From online sign-up to follow-up care, one simple path.
This page walks you through exactly what happens when you start with SendSlim Clinic—from your first click, to your first visit, to labs, medications (if safe), and follow-up care. Our goal is to make every step clear, simple, and safe.
Step 1 – Start Online
You begin from home, on your phone or computer.
Go to our Start Your SendSlim Program page.
Create your account or log in. Then pick a date and time for your telehealth visit and pay for your appointment
Fill out the online intake form, which asks about:
Your medical history
Your medications and allergies
Your past weight-loss attempts
Your goals and concerns
This form usually takes about 10–15 minutes.
The more honest and complete you are, the better we can help you.
✅ You must be 18 or older and located in California or Nevada for us to treat you.
Step 2 – Your First Telehealth Visit
You meet your clinician by video or phone.
On the day of your visit:
Join using the secure link we send by email, text, or through the patient portal.
Make sure you are in a quiet, private place in California or Nevada.
During the visit, your clinician will:
Review your intake form and ask follow-up questions
Talk about your health, weight history, and lifestyle
Ask what you’ve tried before and what has or hasn’t worked
Check for warning signs or conditions that affect safety
Talk about possible next steps (labs, lifestyle changes, and maybe medication)
This visit usually lasts 45–60 minutes.
You and your clinician will agree on a first plan that fits your life as much as possible.
Step 3 – Labs & Checks (If Needed)
We may order labs to keep you safe.
Depending on your health, your clinician may order blood tests such as:
Blood sugar (like A1c)
Kidney and liver function
Cholesterol and triglycerides
Thyroid tests
Other labs based on your history
You will:
Go to a local lab to get your blood drawn (we send the order electronically or give you a form).
The lab will bill you or your insurance separately.
Results are sent securely back to your SendSlim clinician.
Labs help us:
Make sure your body can safely handle certain medications
Look for hidden problems (like diabetes, thyroid issues, or fatty liver)
See your “before” picture so we can track your progress over time
Sometimes we can use recent labs from your primary care provider instead of repeating everything.
Step 4 – Your Personal Plan
You get a clear plan based on your body and your goals.
Once we have enough information (from your visit and labs), your clinician will:
Confirm whether weight-loss medication is safe and appropriate for you
Recommend changes for:
Food and eating patterns
Movement and daily activity
Sleep and stress
Talk about steps that feel realistic for your life—not just “ideal world” rules
If medication is used:
You’ll talk about risks, benefits, and alternatives
You’ll learn how and when to take it
You’ll learn what side effects to watch for and when to contact us or call 911
If medication is not used:
We explain why
We focus on lifestyle, other tools, and medical issues that can still improve your health
Step 5 – Pharmacy & Labs Follow-Through
You complete the practical steps.
After your plan is made, you may need to:
Pick up your prescription at your chosen pharmacy
Go to the lab for any blood work
Start tracking:
Weight (scale at home)
Symptoms and side effects
Any changes in your mood, energy, or sleep
Medication and labs are not included in SendSlim visit fees and are usually billed by the pharmacy or lab directly.
If anything is confusing at this stage, you can:
Send a non-urgent portal message
Save questions for your next visit
Step 6 – Follow-Up Visits
We check in and adjust your plan.
Follow-up visits are usually 20–30 minutes by video or phone.
At each follow-up, we will:
Review your weight and symptom changes
Look at any new lab results
Ask about side effects if you’re on medications
Update your plan (medications, doses, lifestyle steps)
Celebrate progress—scale changes and non-scale wins (energy, clothing fit, labs, etc.)
You can choose:
Single follow-up visits when needed, or
An ongoing monthly plan for more regular support
Your clinician will help you decide how often to follow up based on your health and your goals.
Step 7 – Long-Term Care & When We Say “No”
We are honest, even when it’s hard.
Over time, we may:
Continue your medicine if it is safe and helping
Change your medicine or dose if needed
Stop a medicine if:
It causes bad side effects
It is not helping enough
New health information makes it unsafe
We may also say no when:
A medicine is not safe for your health
You ask for a dose that we feel is too risky
You want a type of care that is outside our training or license
If that happens, we will explain why and try to offer other options when possible.
Safety always comes first.
Step 8 – What Telehealth Can and Can’t Do
Telehealth can help a lot—but not with everything.
Telehealth can:
Help you start and follow a medical weight-loss plan
Review labs and adjust medications
Guide lifestyle changes and answer questions
Save you trips to a clinic
Telehealth cannot:
Provide emergency care
Replace all in-person exams and procedures
Handle very complex conditions that need specialist, in-person management
We will tell you when you need:
To see your primary care provider
To see a specialist
To go to urgent care or the emergency room
When to Use SendSlim vs. When to Call 911
SendSlim is great for:
– Non-urgent weight and health visits
– Questions about your treatment plan
– Moderate side effects that are not life-threatening
– Adjusting medicines and lifestyle steps over time
Call 911 or go to the nearest emergency room if you have:
– Chest pain or trouble breathing
– A severe allergic reaction (swelling of the face, lips, tongue, or throat; trouble breathing)
– Stroke signs: sudden weakness, trouble speaking, confusion, or vision loss
– Vomiting that will not stop
– Thoughts of harming yourself or others
– Any symptom that feels severe, scary, or life-threatening
Do not wait for a telehealth appointment or a message in those cases.
Ready to Take Step 1?
If this step-by-step path sounds right for you:
Start with our Start Your SendSlim Program page to fill out your intake and book your first visit, or
Visit our Pricing, Labs & Tests, and Medication Safety pages to learn more
SendSlim is here to help you move through each step—clearly, safely, and with respect.