Forms / Frequently Used Compounds / Clinical Papers
Patient Forms:
At Town and Country Compounding & Consultation we strive to serve our patients in the best manner possible. You may find the forms below useful if you are interested in our consultation services or submitting claims to your insurance company.
Women’s BHRT Confidential Evaluation
Men’s Health Profile/Questionaire
If you are interested in scheduling a consultation with our pharmacist, please visit our <Consultations> page for more information.
Patient Universal Claim Form
BHRT Pharmacy Health Consultation-CPT Codes
ZRT Test Reimbursement Form
Frequently Used Compounds by Specialty:
At Town and Country Compounding & Consultation we want to provide the best to care to our patients and work with practitioners to help meet their needs. Below are lists of frequently used compounds for various specialties that may help provide guidance and ideas for practitioners. Please feel free to call 201-447-2020 to discuss treatment options with one of our professionals.
Short List of Compounding Ideas
Autism Spectrum Disorder
Dental
General Practice
Hospice
OB/Gyn
Oncology
Ophthalmology
Orthopedics
Otolaryngology
Pain and Inflammation
Pain Management
Pediatrics
Podiatry
Rheumatology
Sports Medicine
Surgery Centers
Urology
Veterinary Examples
Veterinary by Category
Clinical Papers:
Kenna Stephenson, MD, FAAFP - Trandermal Progesterone Clinical Trial (Clinical Paper)
Kent Holtorf, MD - The Bioidentical Hormone Debate (Clinical Paper)
Erika T. Schwartz, MD Kent Holtorf, MD - Hormones in Wellness (Clinical Paper)
Jim Paoletti, RPh - Thyroid Gradient Chart & Explanation
Jim Paoletti, RPh - Thyroid Gradient Chart Blank Sheets
Jim Paoletti, RPh - Hypothyroidism, Functional Hypothyroidism, Functional Metobolism (Clinical Paper)
ZRT Lab Testing Forms:
At Town and Country Compounding & Consultation we work with ZRT Laboratory to test your hormone levels throughout your treatment. For more information about bioidentical hormones and their different tests, please review the documents below.
Bio-identical Hormones – The Basics
Facts About Hormone Balance
Life After HRT
Blood Spot Testing
Saliva Testing
Combination Blood Spot and Saliva Testing
