The Best in Anti-Aging Therapy
Blugenix Medical Forms
Be as thorough as possible when completing your medical history forms.
Your forms and lab results will help our doctor create a roadmap for your therapy.
Medical History Forms
In order to be considered for therapy, please complete the Medical History Forms below.
These forms in conjunction with your laboratory results will help our doctor determine your optimal therapy program.
Answer all questions to the best of your ability. If you have questions, please be sure to ask your counselor.
All Private Health Information is protected by HIPAA.
