Loading
Purpose and Nature of Hormone Creams: I understand that Down-to-Earth Wellness Center offers Bioidentical Hormone Replacement Therapy (BHRT) in the form of topical hormone creams. These compounded creams may include estrogen, progesterone, testosterone, or a combination of hormones as prescribed based on individual lab results, symptoms, and health goals. The purpose of BHRT cream therapy is to restore hormonal balance, alleviate symptoms of deficiency or imbalance, and support long-term health and wellness.
Benefits of BHRT Cream Therapy: Potential benefits of using hormone creams include improved mood, energy, libido, sleep quality, cognitive function, and relief from symptoms related to menopause or andropause, such as hot flashes, night sweats, and vaginal dryness. The therapy may also support bone health, cardiovascular wellness, and metabolic function. Results may vary depending on individual response.
Risks and Side Effects: I understand that although hormone cream therapy is generally well tolerated, it may cause side effects such as skin irritation at the application site, breast tenderness, mood changes, headaches, bloating, spotting or irregular bleeding, hair thinning or growth, acne, and changes in libido. Hormone therapy may also carry risks of blood clots, stroke, or hormone-sensitive cancers in certain individuals. All prescriptions and doses are individualized and monitored for safety.
Medical Disclosure: I have disclosed my complete medical history, including all medications, supplements, allergies, past surgeries, and current health conditions. I understand that accurate information is essential to ensure safe and effective treatment. I agree to complete any lab work or follow-up appointments as recommended to monitor hormone levels and treatment response.
Alternative Options: I acknowledge that alternatives to hormone cream therapy include oral, injectable, pellet, or patch-based hormone replacement, as well as lifestyle and dietary changes or the choice to forgo treatment. I have discussed these options and choose to proceed with topical hormone therapy at my discretion.
Consent and Release of Liability: By signing the Consent & Authorization Summary Signature Page, I confirm that I have read and understand this consent form. I have had the opportunity to ask questions and receive satisfactory answers. I voluntarily consent to receive Bioidentical Hormone Cream Therapy at Down-to-Earth Wellness Center. I understand that no specific results are guaranteed and agree to release and hold harmless the providers, staff, and affiliates of Down-to-Earth Wellness Center from any liability related to this treatment, except in cases of gross negligence or malpractice.