Please fill out the Consent for Hormone Supplementation Therapy and the appropriate health questionnaire below.
After completing the form you can do one of the following four options:
You can print and mail the form to us at:
1085 S. Bluff St. St. George Ut, 84770
You can print and fax the form to us at:
(435) 688-9586
If you have Adobe Acrobat installed on your computer you can e-mail the form to us by selecting the E-mail button at the bottom of the form.
(Please note: You will need Adobe Acrobat, not just Adobe Reader, for this option.)
You can save the form to your computer and e-mail it to us as an attachment.
Please send to: ctrhealthco@gmail.com.
Perimenopause and 