Non-Membership Testosterone Therapy Acknowledgment
Please read and check the box below:
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I acknowledge that I have been informed of the membership option for testosterone therapy, including its benefits such as bundled pricing, priority access, and discounted services.
I decline the membership option and instead choose to proceed with a month-to-month treatment plan.
I understand that by choosing the month-to-month option: I will be charged per dosage and/or visit. I am not eligible for membership perks or discounts. Payment is due at the time of service or as agreed upon in this arrangement.
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