Clinical Paperwork

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Female Biote Patients

Male Biote Patients

Telemedicine Patients

Thyroid Only Patients

Call the clinic at 806-676-5545 or email us at [email protected] if you have any questions.

Paperwork/Consents Needed for Female Biote Patients

Click on each link below, complete each page and submit.

Female New Patient Form

Fill Out Form

Female Health History & Symptoms

Fill Out Form

HIPAA Information and Consent

Fill Out Form

Pellet Insertion Consent

Fill Out Form

Hormone Replacement Fee Acknowledgement

Fill Out Form

What Might Occur After Pellet Insertion

Fill Out Form

Post Insertion Instructions

Fill Out Form

Request to Restrict Disclosure

Fill Out Form

Patient Acknowledgement of Appointment Cancellation Policy

Fill Out Form

Paperwork/Consents Needed for Male Biote Patients

Click on each link below, complete each page and submit.

Male New Patient Form

Fill Out Form

Male Health History & Symptoms

Fill Out Form

HIPAA Information and Consent

Fill Out Form

Hormone Replacement Fee Acknowledgment

Fill Out Form

Pellet Insertion Consent

Fill Out Form

Post Insertion Instructions

Fill Out Form

What Might Occur After a Pellet Insertion

Fill Out Form

Request to Restrict Disclosure

Fill Out Form

Patient Acknowledgement of Appointment Cancellation Policy

Fill Out Form

Paperwork/Consents Needed for Telemedicine Patients

Click on each link Below (either male or female forms), complete each page and submit.

Female New Patient Form

Fill Out Form

Female Symptom Questionnaire

Fill Out Form

Male New Patient Form

Fill Out Form

Male Symptom Questionnaire

Fill Out Form

Telehealth Consult Consent

Fill Out Form

HIPAA Information and Consent

Fill Out Form

What Might Occur After a Pellet Insertion

Fill Out Form

Request to Restrict Disclosure

Fill Out Form

Paperwork/Consents Needed for Thyroid-Only Patients

Click on each link Below (either male or female New Patient Form), complete each page and submit.

Female New Patient Form

Fill Out Form

Female Symptom Questionnaire

Fill Out Form

Male New Patient Form

Fill Out Form

Male Symptom Questionnaire

Fill Out Form

HIPAA Information and Consent

Fill Out Form

Request to Restrict Disclosure

Fill Out Form

Quick Links

Home Blog About Contact Clinic Paperwork Courses

Quick Links

Home Blog About Contact Clinic Paperwork Courses

Clinical Paperwork

Jump to a Section

Call the clinic at 806-676-5545 or email us at [email protected] if you have any questions.

Paperwork/Consents Needed for Female Biote Patients

Click on each link below, complete each page and submit.

Paperwork/Consents Needed for Male Biote Patients

Click on each link below, complete each page and submit.

Paperwork/Consents Needed for Telemedicine Patients

Click on each link Below (either male or female forms), complete each page and submit.

Paperwork/Consents Needed for Thyroid-Only Patients

Click on each link Below (either male or female New Patient Form), complete each page and submit.

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