Patient Documents
Everything you need toget startedpreparebegin care
Access and complete the forms required to begin your journey with Andrologix. Completing these ahead of time helps your consultation go smoothly.
Required Documents
Complete and Sign
Driver's License
Fax (561-363-5450) or email (documents@andrologix.com) a photo of your license.
EmailOptional Forms:
Please DO NOT complete any of the following forms unless you were specifically requested to do so.
- Partner Telehealth Consultation Consent (Sign online)
- Universal Annual Lab & Vital Signs (Printable PDF)
- Medical Management & Release (Printable PDF)
- Medical Records Release to 3rd Party (Printable PDF)
- Medical Records Release to 3rd Party (Sign online)
- Semaglutide Consent Form (Printable PDF)
- Semaglutide Consent Form (Sign Online)
- Trimix Instructions and Consent Form (Printable PDF)
- 3rd Party CC Authorization (Printable PDF)
- Required Lab Work (Printable PDF)
Need help with a form? Call our team at (877) 741-6069.
Simple Process
How to submit your documents
Three easy steps to make sure you're ready for your first appointment.
1
Download & Complete
Download the relevant forms and fill them out completely and accurately.
2
Submit Securely
Return your completed documents to our team ahead of your appointment.
3
Get Your Labs
Use your lab requisition to complete blood work at a convenient location.
Ready to take the first step?
Our team is here to guide you through every form and every question.