Forms

Testosterone Patients

• Patient Registration Form
• Patient Medical History
• Consent for Testosterone Replacement Therapy
• Agreement Not to Use Other Testosterone Supplementation
• Medication Management Agreement
• Financial Agreement
• Privacy Practices
  • Privacy Practice Reception
  • HIPAA Notice of Privacy Practices
• Request for Release of Medical Records

Weight Loss Patients

• Patient Registration Form
• Patient Medical History
• Consent for Weight Loss Treatment
• Privacy Practices
  • Privacy Practice Reception
  • HIPAA Notice of Privacy Practices