patient site


patient site



All the tools you need to succeed, customized for you

As a PhysioAge Partner, you’ll gain access to a full range of forms, questionnaires, letters and e-mail templates that we’ve developed and refined over the years.

  • Eliminates the learning curve
  • Presents a professional practice image
  • Provides a means to ensure quality


Policies & Procedures

  • PhysioAge Clinical Protocols Treatment Guide
  • Employee Handbook
  • Biomarker Testing Manual
  • HCG Diet protocols & patient materials

Chart Documents

  • Flowsheet for medications and labs
  • Physical exam
  • Problem List
  • Medical Questionnaires

Administrative Forms & Checklists

  • Superbill with lab ordering
  • Quality Assurance Checklist: Initial Visits
  • Quality Assurance Checklist: Follow-ups
  • Biomarker Testing Checklist
  • Credit Card Authorization Forms
  • Medicare Opt-Out Form
  • Staff Roles & Responsibilities Matrix

Patient Handouts

  • Treatment Programs & Pricing
  • Norditropin Handling, Storage & Use
  • Injection procedure
  • Treatment Program Instructions
  • Practice Policies & Procedures for patients
  • Signs & Symptoms of Estrogen & Progesterone Imbalance
  • Symptom Charts
  • Biomarker Testing Matrix
  • Shipments FAQ
  • Billing FAQ
  • Product brochures


  • Patient Travel Letters
  • Letters of Medical Necessity
  • Cutoff Letters
  • Fax coversheet with PHI disclaimer

E-mail Templates

  • New Patient Documents & Procedure
  • Thank you for your interest in our practice
  • Nutritionist Consult appt
  • Appt Confirmations
  • Follow-up management e-mail templates

Consent Forms

  • HRT Informed Consent
  • HRT Informed Consent for Patients with Hx of Breast Ca
  • HRT Informed Consent for Patients with Hx of Prostate Ca

Marketing Materials

  • A Guide to Bioidentical Hormone Therapy for Men & Women
  • Brochures and brochure templates
  • Business card template
  • PhysioAge letterhead and stationary


  • Notice of Privacy Practices
  • Authorization to Use or Disclose PHI
  • Authorization to Obtain PHI

Plus, your practice will have access to the PhysioAge Wiki, our searchable online repository of up-to-date forms and handouts.