A Dedicated & Proactive Approach to Men's Health Care

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Patient Forms

Home Patient Forms

CONSENT FORM

Blood Draw Consent and Instructions

Consent for Testosterone Replacement Therapy (TRT)

Consent for Growth Hormone Enhancement Therapy (GHET or GHT)

Consent for Testosterone Pellet Placement

MEDICAL RELEASE FORMS

Release of Medical Records to Man Alive

Release of Medical Records from Man Alive

PAYMENT FORM

Recurring Payment Authorization Form

INSTRUCTIONS

Instructions before Testosterone Pellet Placement

Instructions after Testosterone Pellet Placement

Medications – Clomiphene, hCG and Anastrazole

* For all appointments, lab draws, and injections please log onto our patient portal and complete the patient intake form.

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