Women's BHRT Follow-Up Form

Follow-ups are crucial to positive patient progress with hormone replacement. All information provided below will be kept confidential. After you fill out this evaluation a pharmacy representative with contact you to set up a consultation time with one of our pharmacist consultants at our Taylor Street location. Follow-up consultations can be done over the phone if requested. There is a charge for follow-up consultation based on time allowed. Please see office policies for details.