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 protected] 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