Testosterone Program Registration Form

Testosterone Program Registration Form2020-02-06T05:52:13-08:00

Please take a few minutes to complete the details requested below. This will permit us to prepare for your initial visit and our doctor will review the information carefully.

We have decided to CLOSE our clinic locations until further notice.

However, we are still conducting complimentary initial visits for erectile dysfunction treatments by telemedicine.

Our staff will still be available by phone and email to schedule appointments.

We will keep you posted with updates on our website.

Read our COVID-19 Information Page

Take care.