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.

  • Male Consultation Form (pdf)
  • Male Consultation Form (doc)

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

Female Hormone Replacement Therapy Consultation Form