Medical Intake Form

This is the medical history questionnaire for new Atlas HRT patients.

Atlas HRT

Atlas HRT is a Florida telehealth service specializing in hormone replacement therapy and medical weight loss for adults.

Atlas HRT · 130 South Indian River Drive, Suite 202, Fort Pierce, FL 34950

(888) 293-2221
Serving adults across Florida

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Atlas HRT is not a healthcare provider, clinic, or pharmacy. It is a care-coordination platform: we connect you with independent, Florida-licensed physicians who decide whether treatment is appropriate, and with licensed partner pharmacies that fill and ship any prescription they write.

Treatment requires a prescription. A licensed clinician evaluates you by telehealth and decides whether any medication is appropriate. Booking does not guarantee a prescription.

Atlas HRT serves patients located in Florida only. You must be physically in Florida at the time of your consultation. For adults 18 and older.

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