NEW PATIENT FORMS

We offer our patient forms online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms from the list below that pertain to your visit, print them out and fill in the required information.
  • Bring them with you on your first appointment.
FEMALE FORMS

Health Assessment

New Patient Package

Appointment Day Package

Generic Lab Request

Post Procedure Instructions

Out Patient Office Visit

SSRI Wean Protocol

Cash Waiver

MALE FORMS

Health Assessment

New Patient Package

Appointment Day Package

Generic Lab Request

Post Procedure Instructions

Out Patient Office Visit

Out Patient Office Visit Codes

What Might Occur After a Pellet Insertion

SSRI Wean Protocol

Patient Questionnaire & History

Cash Waiver

SPANISH FORMS

BHRT List de Control Femenina

Instrucciones Post Inserción Para Las Mujeres

Paquete Informativo para Pacientes Nuevos Femeninos

Plan de Tratamiento Femenino

BHRT Lista de Control Masculino

Paquete Informativo para Pacientes Nuevos Masculinos

Plan de Tratamiento Femenino

Plan de Tratamiento Masculino

Lo que podría ocurrir después de una INSERCIÓN PELLET

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