Order Forms

Print Editable Patient Assessment Request (PAR) Order Form

Print OBGYN Order Form

Print Scream Cream #9 Info Sheet

Print Pain Management, Skin Conditions, and Nasal Symptom Management Order Form

Print Colorectal & Fistula Health Order Form

Print Topical Pain Management and Oral Nsaid Delivery Order Form

Print Hand Pain Management Compound Order Form

Print Nasal Symptom & Pain Management Order Form

Print Pain Management and Skin Conditions

Print Skin Topical Antibiotics and PM Order Form

Print Anti-Ineffective Bassa-Gel Powder Solution Order Form

Print Women's Health and Sexual Dysfunction Order Form

    Print Wart and Nail Fungus Treatment Nail Focused Order Form

    Print Explanation of Nasal Delivery Order Form

    Print Standard Nasal Order Form

    Print Budesonide Sinus Medication Order Form

    Print Gastroenterology Colorectal & Fistula Health Order Form

    Print General Skin Antibiotic Focused Order Form

    Print Nasal Infections, Yeast Infections, Wound Infections Order Form

    Print Pain Formulas Order Form

    Print Podiatry Formulas Order Form

    Print Urology Comprehensive Rx Template (Part 1) Order Form

    Print Urology Comprehensive Rx Template (Part 2) Order Form

    Print Anti-Ineffective – Bassa-Gel Order Form

    Clinical Research Studies and Links to Articles

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    Intranasal Theophylline

    • Read full article here!

    • Patients who might benefit from the topical delivery of such medications could include patients who are currently using: (1) nasally delivered steroids, (2) nasally or orally delivered antihistamines, (3) nasally delivered anticholinergics, (4) nasally or orally delivered mucolytics, (5) orally delivered Montelukast, or (6) irrigation systems to clear out the nasal cavities and remove debris.

    • YHP has also received redundant requests for nasally delivered Theophylline which is anticipated to be useful for patients dealing with anosmia.

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    Patient Resources