What is it?
The Consent Form for Bioidentical Hormone Replacement Therapy (BHRT) is a legally required document to obtain patient consent for compounded bioidentical hormones.
It must be signed by the patient before BHRT is prescribed. (Note: You'll use this Form in addition to your regular Informed Consent/Consent to Treat Form.)
It covers areas like:
- description of BHRT.
- potential risks + benefits of BHRT.
- voluntarily consent to receive BHRT.
Who needs it?
All licensed medical practitioners working with patients who have prescription privileges for BHRT including:
- Physicians (all types), including Integrative, Functional and Lifestyle Physicians
- Nurse practitioners
- Physician assistants
- All licensed medical practitioners working in patient relationships who are allowed to prescribe BHRT under their scopes of practice.
Legal Love™ Tip:
- Use this form when prescribing BHRTs under your scope of practice.
- Use this form if you’re using your medical title like “Dr.”, “Nurse Practitioner” or “PA” and working with patients in states where you’re licensed.
Note: This is NOT the correct form if you’re a “coach” under any circumstance. It’s not to be used by medical practitioners who are not authorized to prescribe BHRT.
Client Love
Why do you need it?
This Consent Form for BHRT helps you:
- Get written consent for BHRT specifically —before services begin.
- Ensure clear communication with patients in writing.
- Share the benefits and risks with professionalism and ease.
- Be energetically aligned in your sacral chakra by creating clear boundaries + expectations.
This form reduces risk for both you and your patients—building trust through transparency.
What’s included in the DIY package?
- Informed Consent Form Template
- Easy-to-edit doc.
- Fill in the blank format you can use right away.
- Plain English - no confusing legalese.
- Created with care + Legal Love™.
How does it work?
- Receive an email from us with instructions.
- Download your DIY template.
- Fill in the blanks.
- Save your changes (don’t skip this step!)
- Share it with your patients—electronically or in person - and keep a signed copy.
What's the investment?
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