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To help us better meet your individual needs, please complete the appropriate form prior to meeting with the pharmacist.  You may fill out the form and submit via email or bring into the pharmacy prior to your appointment.

If you are a male, please click on the Male Consultation Form below and complete.

If you are a female, please complete and submit the form below.

 
 


Female Hormone Replacement Therapy Consultation Form

 
   
   

120 N. Eisenhower Dr. Junction City, KS 66441

785-762-5535 | 800-642-4135 Email us