Become a FEMALE BioBalance Health® Hormone Pellet Patient

Steps to Become Our Patient:

  1. Fill out and submit the online form below, honestly and completely, or click this link to download the new patient packet (Download Female New Patient Packet)
  2. Once you sign and submit the questionnaire, you will receive a instructions and next steps via email. If you do not see this in your inbox, check your Spam folder!
    • Our onboarding nurse will contact you and provide you with a lab order.  Please have your blood drawn ASAP.
    • For accurate and complete lab results, you MUST read the instructions contained in the email and follow them.
    • You can have your blood drawn at Quest, LabCorp, or whichever lab your insurance plan has a contract (note: we prefer that you go to Quest!)
  3. If you are 40+ years old, email us a copy of your last mammogram report to [email protected]. If you have not had a mammogram in the last 12 months, you will need to have another one before you can be seen as a patient.
  4. If you have a uterus and are in menopause, you will need to have a pelvic ultrasound completed.
    • If you have already had an ultrasound of your uterus done in the past 12 months, email a copy of the report to us.
    • If you do not know if you are in menopause, our nurse can help you decide with the help of your lab results and questionnaire.
  5. Next, we will evaluate your blood work and, if you are a candidate, we will call you to schedule you for a 1-hour in-person consultation with Dr. Maupin or Dr. Sullivan to discuss your results and our recommendations, which will be immediately followed by a minimally invasive hormone-pellet insertion procedure. At the time of this call, we will also collect a $300 deposit.
    • The $300 deposit will cover the cost of your initial consultation with one of the doctors.
    • If you “no-show” your appointment or cancel ≦3 business days before your appointment, you will forfeit the deposit


The Medical History & Symptom Form: