|
Standing Orders
• • •
|
Standing Order Date
|
|
Date Tested
|
Date of Last Lab
|
|
Testosterone
• • •
|
PSA
• • •
|
|
HGB
• • •
|
EST
• • •
|
|
Free T
|
Dosage
|
|
Aromatize Estrogen Blocker
• • •
|
Dose Frequency
|
|
|
MG Perscribed
|
|
|
HCG
|
|
|
Quantity
|
|
Blood Pressure
/
|
|
|
Other Injections
|
|
|
Compound Injected
|
|
|
Compound Injected
|
|
