Men’s Health Survey

Am I candidate for a pharmacist consultation?

Call into the pharmacy and speak with the us briefly to answer a few quick questions

Our pharmacists will provide a password to complete the online consultation below.

**You may only fill this form out if you have spoken with an HDRx pharmacist and they have instructed you to complete the following form.

Please Note: This consultation is a paid service.

Contact the pharmacy for current rate. A prescription recommendation resulting from this consult can be sent to the prescriber of your choice. It is advisable to secure the support of your prescriber before scheduling a consultation with one of our pharmacists.

Restricted to Approved Patients

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