Health Assessment
for Women

Are you a Bio-Identical Hormone Replacement Therapy Candidate?

How frequently do you experience the following symptoms?

Depressed mood
Fatigue
Mental confusion
Decreased sex drive/libido
Sleep problems
Mood changes/Irritability
Migraine/severe headaches
Bloating and/or Weight Gain
Hot flashes and/or Night Sweats
Joint pain

Do you have a family history of:

Heart disease
Diabetes
Osteoporosis
Alzheimer's disease
Breast Cancer

Please fill out the information below and a member of our team will contact you to review your results.

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For more information about BHRT, or if you wish to schedule a consultation, please contact us today.

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