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New Patient Intake Form

For your first visit, please download the following three forms and bring the completed form with you.

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Women's New Patient

  • FEMME CLINIQUE PATIENT INTAKE FORM Download 

  • FEMME CLINIQUE FEMALE PATIENT CONSENT HORMONE THERAPIES Download 

  • FEMME CLINIQUE PATIENT PAYMENT AGREEMENT Download 

Men's New Patient

  • FEMME CLINIQUE PATIENT INTAKE FORM Download 

  • FEMME CLINIQUE MALE PATIENT CONSENT HORMONE THERAPIES Download 

  • FEMME CLINIQUE PATIENT PAYMENT AGREEMENT Download 

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