The contents of this package are your first step to restore your vitality.
Please take your time to read this carefully and answer all the questions as completely as possible.
Thank you for your interest in BIoTE Medical. In order to determine if you are a candidate for bio-identical testosterone pellets, we need laboratory and your history forms. We will evaluate your information prior to your consultation to determine if BIoTE Medical can help you live a healthier life.
Please complete the following tasks before your appointment:
2 weeks or more before your scheduled consultation: Get your blood labs drawn at any Quest Diagnostics or LabCorp. If you are not insured or have a high deductible, call our office for self-pay blood draws. We request the tests listed below. It is your responsibility to find out if your insurance company will cover the cost, and which lab to go to.
Please note that it can take up to two weeks for your lab results to be received by our office.
YOUR BLOOD WORK PANEL MUST INCLUDE THE FOLLOWING TESTS:
____________Estradiol
____________FSH
____________Testosterone Total
____________TSH
____________T4, Total
____________T3, Free
____________T.P.O. Thyroid Peroxidase
____________CBC
____________Complete Metabolic Panel
____________Vitamin D, 25-Hydroxy (Optional)
____________Vitamin B12 (Optional)
____________LipI’d Panel (Optional) (Must be a fasting blood draw to be accurate)
Female Post Insertion Labs Needed at 4,6 or 8 Weeks based on your practitioners choice:
___________FSH
___________Testosterone Total
___________CBC
___________Lipid Panel (Optional) (Must be a fasting blood draw to be accurate)
___________TSH, T4 Total, Free T3, TPO (Needed only if you’ve been prescribed thyroid medication)
___________Estradiol