Longevity Medication Refill & Biomarker Tracking Form

Managing medication refills in longevity and functional medicine practices requires more than just renewing prescriptions—it's about tracking biomarkers, optimizing anti-aging protocols, and ensuring patients receive personalized care aligned with their wellness goals.

This Longevity Medication Refill & Biomarker Tracking Form is specifically designed for functional medicine providers, longevity clinics, and integrative health practices that focus on preventative care and healthspan optimization. The template combines standard prescription refill workflows with advanced biomarker tracking, protocol assessment, and consultation scheduling capabilities.

Why Paperform for Longevity & Functional Medicine Practices

Paperform is the ideal solution for functional medicine providers who need branded, professional forms that match the premium nature of their services. With conditional logic, you can create personalized experiences based on patient protocols, medication types, and health goals. Payment integration allows you to collect consultation fees or lab test deposits directly within the form, while appointment scheduling enables seamless provider booking.

The form captures essential patient information, current medication details, and recent biomarker data—all in one streamlined experience. Conditional fields adapt based on the specific anti-aging protocol (NAD+ therapy, peptides, hormone optimization, etc.), ensuring you collect relevant information without overwhelming patients.

Streamline with Automation

Connect this form to Stepper to automate your refill workflow: route requests to the appropriate provider based on medication type, trigger pharmacy notifications, update patient records in your practice management system, and send follow-up reminders for lab work or consultations. This automation reduces administrative burden while maintaining the high-touch care your patients expect.

For practices requiring patient consent or provider signatures on refill authorizations, integrate Papersign to generate and send eSignature documents automatically after form submission, creating a complete audit trail.

Whether you're a solo functional medicine practitioner, a longevity clinic, or an integrative health center, this template helps you deliver efficient, personalized medication management while capturing the data you need to optimize patient outcomes and track protocol effectiveness over time.