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 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

                        Print Women's Health and Sexual Dysfunction 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

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