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Forms

Download patient form(s) by clicking the links below.

Authorization to Disclose Health Information

Authorization to Disclose Health Information
Authorization For Use or Disclosure of Protected Health Information

Authorization For Use or Disclosure of Protected Health Information
Authorization to Release Medical Information

Authorization to Release Medical Information
Patient Information Form

Patient Information Form
BHRT Checklist for Men

BHRT Checklist for Men
BHRT Checklist for Women

BHRT Checklist for Women
MonaLisa Instructions

MonaLisa Instructions