HRT Female Checklist

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(episodes of sweating)
(unusual awareness of heart beat, heart skipping, heart racing, tightness)
(difficulty in falling asleep, difficulty in sleeping through the night, waking up early)
(feeling down, sad, on the verge of tears, lack of drive, mood swings)
(feeling nervous, inner tension, feeling aggressive)
(feeling panicky)
(general decrease in performance, impaired memory, decrease in concentration, forgetfulness)
(change in sexual desire, n sexual activity and satisfaction)
(difficulty in urinating, increased need to urinate, bladder incontinence)
(sensation of dryness or burning in the vagina, difficulty with sexual intercourse)
(pain in the joints, rheumatoid complaints)
Physical activity that accelerates heart rate / Breathlessness
Although more insurance companies are reimbursing patients for Bio-Identical Hormone Replacement Therapy, there is no guarantee. You will be responsible for payment in full at the time of your BHRT procedure (see fee schedule below). New Patient Consultation Fee (free for members) $150. Female Hormone Pellet Insertion Fee $350
Office Use Only
Office Use Only
Office Use Only

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NuMed Direct Primary Care
7200 E Dry Creek Road
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Centennial, CO 80112


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