Compounded Bioidentical Hormone Refill Request

Streamline Your BHRT Refill Process with Paperform

Managing compounded bioidentical hormone therapy (BHRT) refills requires careful tracking of symptoms, lab results, and patient progress. This Compounded Bioidentical Hormone Refill Request template helps functional medicine practitioners, naturopathic doctors, and integrative health clinics collect all the essential information needed to evaluate hormone balance and adjust treatment protocols effectively.

Built specifically for BHRT programs, this form captures saliva testing results, comprehensive symptom tracking across multiple body systems, lifestyle factors, and medication adherence—all in one organized submission. Patients can easily upload lab reports, document changes in their wellbeing, and communicate their refill needs, while providers receive structured data that supports clinical decision-making.

Why Functional Medicine Providers Choose Paperform

With Paperform's conditional logic, you can show or hide relevant symptom questions based on which hormones patients are taking, creating a personalized experience that reduces form fatigue. The professional, on-brand design ensures patients feel confident sharing sensitive health information, while file upload fields make it simple to attach recent saliva test results or additional documentation.

Connect your form to your practice management system, patient portal, or communication tools using Stepper to automatically route refill requests to the right provider, create tasks in your workflow system, and send confirmation emails with next steps. You can also set up automated reminders for patients who need to submit testing before their next refill window.

For integrative health clinics managing multiple providers and treatment protocols, Paperform scales beautifully. Create custom forms for different hormone combinations, set up approval workflows for complex cases, and maintain GDPR-compliant records with Paperform's SOC 2 Type II certified infrastructure. Whether you're a solo practitioner or a multi-provider wellness center, this template gives you a professional foundation to deliver exceptional, personalized BHRT care.