Intake Forms for Low T Nation

Please download, print and fill out the forms below.  This will expedite your initial testosterone therapy qualification appointment and allow us to begin your evaluation as quickly as possible.  If you have any issues with this download, please call us at 866-Fix-Low-T and we will happily email you the files.

Click below to view and download the intake form or simply right click on the link and save it.  Once filled out, please email to info@lowtnation.com or fax to 678-623-5008.  We will contact you as soon as we receive the forms.

Intake Form