/Companies

Form Health

Boston, US · Founded 2019 · Delaware corporation · 6 known investors

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Form Health is a medical weight loss solution that combines medical expertise with patient support to help individuals achieve weight loss and improve overall health.

Founders & leadership

FH
Florencia HalperinFounder

Board

LPLatif Peracha
Latif PerachaBoard directorGeneral Partner at M13
EREvan Richardson
Evan RichardsonFounderFounder & CEO of Form Health, Former SVP of Grand Rounds at SignalFire
JB
Juliette BoleaBoard director

Investors · 6

Reported raises · per SEC filings

Form D private placements

$76M disclosed across 4 rounds · 2019–2024

▶$43MraisedApr 2025 · 10 investors · Other Technology
Rule 506(b)
Officers, directors & promoters on the filing
  • Latif PerachaDirector
  • Evan RichardsonExecutive Officer, Director, Promoter
  • Juliette BoleaDirector
Offering amount
$43M
Amount sold
$43M
First sale
Jun 2024
Incorporated
Corporation, Delaware
Federal exemptions
06b
Full filing on SEC EDGAR ↗
▶$6.7MraisedNov 2023 · 3 investors · Other Technology
Rule 506(b)
Officers, directors & promoters on the filing
  • Evan RichardsonExecutive Officer, Director, Promoter
  • Latif PerachaDirector
Offering amount
$8M
Amount sold
$6.7M
First sale
Oct 2023
Incorporated
Corporation, Delaware, 2019
Federal exemptions
06b
Full filing on SEC EDGAR ↗
▶$22.9MraisedJan 2023 · 12 investors · Other Technology
Rule 506(b)
Officers, directors & promoters on the filing
  • Evan RichardsonExecutive Officer, Director, Promoter
  • Latif PerachaDirector
Offering amount
$23.9M
Amount sold
$22.9M
Proceeds to insiders
$200K
First sale
Apr 2021
Incorporated
Corporation, Delaware, 2019
Federal exemptions
06b
Full filing on SEC EDGAR ↗
▶$3.4MraisedJun 2019 · 9 investors · Other Health Care
Rule 506(b)
Officers, directors & promoters on the filing
  • Evan RichardsonExecutive Officer, Director, Promoter
Offering amount
$3.6M
Amount sold
$3.4M
First sale
May 2019
Incorporated
Corporation, Delaware, 2019
Federal exemptions
06b
Full filing on SEC EDGAR ↗

Source: SEC EDGAR Form D. Amounts as filed; amended filings shown once at their latest values.

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In the news

Frequently asked questions

What does Form Health do?
Form Health is a medical weight loss solution that combines medical expertise with patient support to help individuals achieve weight loss and improve overall health.
Who are Form Health's investors?
Form Health's investors include M13, NextView Ventures, Real Tech Capital, SignalFire, Wittington Ventures, Sound Ventures.
How much funding has Form Health raised?
Form Health has disclosed $76M raised across 4 rounds.
Where is Form Health headquartered?
Form Health is headquartered in Boston, US.