Rooted in Balance. Focused on You.

Patient Intake Forms

Preparing for your appointment begins here. Completing your patient intake forms in advance allows our team to better understand your health history, concerns, and wellness goals before your visit. This helps ensure your consultation is focused, efficient, and personalized from the start.

At Hormonally Rooted, we believe thoughtful preparation leads to better conversations and more meaningful care. The information you provide helps guide discussions around hormone balance, preventive wellness, and integrative support options that align with your individual needs.

Which Form Should I Complete?

Please complete the intake form that best aligns with your care needs:

• Men’s Hormone Health Intake Form
  Designed for individuals seeking evaluation and support related to testosterone balance, energy, mood, metabolic health, and overall vitality.
• Women’s Hormone Health History Form
  Intended for individuals navigating hormone changes related to perimenopause, menopause, postpartum shifts, thyroid concerns, or other hormone-related symptoms.

If you are unsure which form is appropriate, our team is happy to help guide you.

What to Expect After Submitting Your Forms

Once your completed forms are received, they will be securely reviewed by our clinical team prior to your appointment. This allows your provider to prepare for your visit, identify relevant areas for discussion, and ensure your time together is used effectively.

All information submitted through our intake forms is handled confidentially and in accordance with HIPAA privacy standards.

Need Assistance?

If you experience difficulty accessing or completing your forms, or if you have questions before your visit, please reach out to our office. We are happy to assist and ensure you feel supported every step of the way.

Completing your patient intake forms is an important first step toward personalized hormone care and integrative wellness support.