Medical history form

You educated yourself, you found a practitioner that can help you, and you decided to try Bioidentical Hormone Replacement Therapy. This form will help you save time when going to your doctor and help him have a better understanding of your body’s hormonal imbalance. Print it, complete it properly, and take it with you to the doctor:

pt_info.pdf

Prescription forms

For your convenience we inserted here prescription intake forms: one is for new prescription and the other is for refills.
Just print them, fill out the information completely and correctly and fax them to us at: 1-800-419-2801 or call us at: 1-800-419-2804.

new_rx_intake.pdf

rx_refill.pdf