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New Patient Intake and Practice Policy Form

Please fill out all fields to the best of your ability. You may drop the forms off at our clinic.

Or you can fill the form out here on the website.

Menopause Health Questionnaire

This questionnaire is intended to help you inform your healthcare provider about your menopause experience and your general health. Working together, you develop a plan to support your health, not only now but also in years to come. If you feel uncomfortable answering any of the questions on this form, you may wait and discuss them with your healthcare provider.

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