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Welcome to Human Performance Health Clinic!
Health Screening Assessment
What category of treatment are you looking for?
Please select a treatment type
Hormone Therapy
Testosterone Therapy
Peptide Therapy
Weight Loss Management
Pathology Evaluation
Erectile Dysfunction
Chronic Pain Treatment
Sleep Quality Management
Hair Loss Treatment
Medical Cannabis (THC & CBD)
Testosterone Therapy
What is the desired goal of the treatment you are looking for?
Do you have any health issues?
Do you have any allergies?
Do you smoke?
Yes
No
If so, how regularly?
Do you drink alcohol?
Yes
No
If so, how regularly?
Do you take any medications or hormone therapy?
Do you have any Injuries?
Is there anything else you would like to tell us prior to discussing with the team?
First Name
Last Name
Phone
Email
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