|
Male
|
Female
|
|
Testosterone injection
|
|
|
Fill in for Tcyp ( ____ mg of Tcyp)
|
Fill in for Tprop ( ____ mg of Tprop)
|
|
Area administered:
|
|
|
Metabolic Injections:
|
Place to write in a different combo injection
|
|
Area administered - Powershot
|
|
|
Vitamin D 50,000 units administered PO
|
|
|
"To Go" Medications
|
Patient given instructions....
|
|
General notes
|
|
|
|
|
|
Fill in for Tcyp ( ____ mg of Tcyp)
|
Fill in for Tprop ( ____ mg of Tprop)
|
|
Area administered:
|
|
|
Metabolic Injections:
|
Place to write in a different combo injection
|
|
Area administered - Powershot
|
|
|
Vitamin D 50,000 units administered PO
|
|
|
"To Go" Medications
|
Patient given instructions....
|
|
General notes
|
|
