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Form Health, Inc.

Updated Oct 27, 2026·Latest SEC filing Apr 15, 2025·Suggest an edit

About Form Health

Form Health is a private company based in Boston, Massachusetts. It has reported $76,004,572 raised in four offerings on Form D since June 2019.

Funding Rounds (SEC Form D)

First saleFiled with SECAmount soldInvestorsAvg. checkTermsFiling
Jun 12, 2024Jun 26, 2024amended Apr 15, 2025$42,985,000fully sold10$4.2MEquity, OptionsRule 506(b)Form D/A ↗1 earlier filing
Oct 24, 2023Nov 6, 2023$6,700,000of $8.0M target3$2.2MOptionsRule 506(b)Form D ↗
Apr 13, 2021Apr 28, 2021amended Jan 13, 2023$22,884,578of $23.8M target12$1.9MEquityRule 506(b)Form D/A ↗2 earlier filings
May 24, 2019Jun 10, 2019$3,434,994of $3.6M target9$381KEquityRule 506(b)Form D ↗
Total, four offerings$76,004,572

First sale is the date the first investor in the offering committed to invest. Companies must file Form D within 15 days of that date, so filing dates run later.

Leadership Team

Executive officers and directors listed on Form Health's Form D filed Apr 15, 2025.

LP
ER
Evan Richardson
President and director
JB
Juliette Bolea
Director
Also a director at Warp.

Sources

  1. SECForm Health, Inc. Form D, filed Jun 26, 2024
  2. SECForm Health, Inc. Form D/A, filed Oct 14, 2022
  3. SECForm Health, Inc. Form D, filed Apr 28, 2021
  4. SECForm Health, Inc. filing history