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REQUEST EARLY ACCESS

Tell us a bit about you.

Step 1: Basic information

First name

Last name

Email

Phone number

Step 2: Your thyroid treatment

Are you currently taking levothyroxine for hypothyroidism?

A
B
C

How long have you been taking it?

A
B
C
D

Has a clinician told you that your TSH is currently within their target or reference range?

A
B
C
D

Step 3: How you feel

Which symptoms are you still experiencing?

How much do these symptoms affect your daily life?

A
B
C

Step 4: Founding-cohort readiness

Our founding cohort involves weekly tracking and a personalized protocol. Are you ready to commit to that?

A
B
C

Do you currently use a wearable for health tracking?

Step 5: Founding cohort pricing

The full program will be $100 for three months. As a founding member, you'll join at $50 — 50% off — and get the personalized protocol, weekly tracking, and direct support from our team.

If selected, would you join at that price? *

A
B
C

Step 6: Final questions

Where did you hear about Shree?

A
B
C
D
E
F
G

Anything else we should know?

Optional updates

By submitting this application, you agree that:

• Shree Health may contact you about the founding cohort.
• Your answers will be handled according to our Privacy Policy.
• Shree is a health tracking and information tool, not a substitute for medical care. Your clinician remains responsible for diagnosis and treatment decisions.
• Submitting this form does not create a clinician-patient relationship.