The complete care of the patient requiring hormone replacement therapy requires a collaborative effort of the physician, the patient, and our experts at Chancy Drugs. Our team works with you and your physician to determine your individual needs by first evaluating your symptoms, and then by calculating your body’s level of essential hormones.

For your convenience our Hormone Evaluation Questionnaire (click to download and print) is available online. This form can be submitted online, or printed and faxed to us at:

You can also e-mail our Chancy Drugs Hormone Therapy Experts at This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

To submit an online Hormone Evaluation Questionnaire:

Click Here