Consent
Patient Consent Packet
Download all consent documents below. Submit only through your clinic-approved secure intake route. Do not send completed forms through standard email or unencrypted web forms.
Download Forms (Print-Ready PDFs)
Form 01 - General Consent to Treat
Baseline treatment authorization
PDF
Baseline treatment authorization
Form 02 - Estradiol Pellet Therapy Informed Consent
Therapy-level informed consent
PDF
Therapy-level informed consent
Form 03 - Procedure Consent
Subcutaneous pellet insertion consent
PDF
Subcutaneous pellet insertion consent
Form 04 - Local Anesthetic Consent
Lidocaine and related anesthesia acknowledgment
PDF
Lidocaine and related anesthesia acknowledgment
Form 05 - Compounded Hormone Acknowledgment
Compounded product disclosure and alternatives
PDF
Compounded product disclosure and alternatives
Form 06 - Post-Procedure Instructions
Patient aftercare handout
PDF
Patient aftercare handout