Mammogram Waiver for Testosterone and/or Estradiol Pellet Therapy Template
$499 / 1 Credit
The Lengea Mammogram Waiver for Testosterone and/or Estradiol Pellet Therapy Template is designed for patients undergoing hormone therapy with testosterone and/or estradiol pellets. It includes a waiver where patients acknowledge the risks of starting treatment without a current mammogram or MRI. The form outlines potential risks, such as the stimulation of existing or undetected breast cancer, and includes an arbitration agreement for resolving disputes. By signing, patients consent to the therapy, understanding the associated risks, and accept responsibility for opting out of recommended screening procedures.
