Female Testosterone Therapy Consent Form

Patient Acknowledgment

I understand that testosterone therapy is being prescribed to address symptoms such as low libido, fatigue, decreased muscle mass, and reduced overall well-being. I acknowledge that this treatment is individualized and may require adjustments based on my response and lab results.

Risks & Side Effects

I understand potential side effects may include:

• Acne or oily skin
• Increased hair growth
• Hair thinning
• Mood changes
• Voice deepening (rare)

Monitoring

I agree to complete recommended lab work and follow-up visits to ensure safe and effective treatment.

Financial Responsibility

I understand in-office injections are $25 per visit and additional treatments or labs may incur separate costs.