Forms Library

Medical Records Release & Health History Form

HIPPA Policy for Your Review

Financial Policy for Your Review

Informed Consent for Testosterone Therapy

Testosterone Pre-Consultation Questionnaire

 Weight Loss Intake Form

 Testosterone Informed Consent

Informed Consent for Growth Hormone Peptides

Patient Facing Documents

• ALL new patients need to complete and submit this form
• Use this form for regenerative medicine pre-screen

Please print, complete, and submit Medical Records Release & Health History Form to [email protected] or 513-228-0077 (fax)