Your Path to Wellness
Beginning Your Journey to Optimal Health and Uncovering Your Full Potential
REQUIRED DOCUMENTS
Click the icons below to fill-out required forms and sign online.
Medical History
Fill-out and sign your complete medical history online.
(For Women Only)
Women, please fill out this form and submit it along with your medical history.
Medical Authorization
Fill-out and sign your medical authorization forms online.
Driver's License
Fax (561-658-6212) or email (documents@andrologix.com) a photo of your license.
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Optional Forms
Please DO NOT complete any of the following forms unless you were specifically requested to do so.
Printable PDF forms require Acrobat Reader.