Testosterone Replacement Therapy (TRT) Consent

Effective Date: January 1, 2026

 

Introduction

This Testosterone Replacement Therapy (TRT) Consent describes the risks, benefits, limitations, and responsibilities associated with receiving TRT services through Jack Business Management Inc DBA VARO (“VARO,” “we,” “our,” or “us”).

By proceeding with TRT evaluation or treatment, you acknowledge and agree to the terms outlined in this Consent.

 

Purpose of TRT

TRT may be used to address symptoms associated with low testosterone levels, as determined by a licensed clinician.

TRT is not appropriate for everyone, and eligibility is determined through clinical evaluation, medical history review, and laboratory testing.

 

Potential Benefits

Potential benefits of TRT may include:

  • Improved energy

  • Enhanced mood

  • Increased libido

  • Improved sexual function

  • Increased muscle mass

  • Reduced fat mass

  • Improved sense of well‑being

Individual results vary, and benefits are not guaranteed.

 

Potential Risks & Side Effects

TRT carries risks, including but not limited to:

  • Acne or oily skin

  • Hair loss

  • Mood changes

  • Sleep disturbances

  • Elevated red blood cell count

  • Changes in cholesterol

  • Fluid retention

  • Fertility reduction

  • Prostate enlargement

  • Worsening of sleep apnea

  • Injection‑site reactions (if applicable)

Your clinician will discuss risks relevant to your situation. If you experience concerning symptoms, seek medical attention promptly.

 

Monitoring Requirements

TRT requires ongoing monitoring, which may include:

  • Blood tests

  • Hormone level checks

  • Cardiovascular risk assessments

  • Prostate health evaluations

  • Follow‑up telehealth visits

You agree to comply with recommended monitoring to ensure safe treatment.

 

Telehealth Limitations

TRT consultations may occur via telehealth. You acknowledge that telehealth:

  • May limit physical examination

  • May require additional in‑person testing

  • May require external lab work

  • Is not appropriate for emergencies

If you experience an emergency, call 911 immediately.

 

Prescription & Pharmacy Use

VARO does not dispense prescription medications.

If a VARO clinician determines TRT is appropriate:

  • A prescription may be issued

  • It will be sent to an external licensed pharmacy

  • VARO is not responsible for pharmacy fulfillment

  • Controlled substances are not prescribed

  • Medication availability and pricing may vary

You must disclose all medications, supplements, and medical conditions to your clinician.

 

Eligibility Requirements

You understand that TRT may be denied or discontinued if:

  • Lab results do not support treatment

  • You fail to complete required testing

  • You provide inaccurate or incomplete information

  • TRT is deemed medically inappropriate

  • You violate program policies

 

Your Responsibilities

You agree to:

  • Provide accurate medical information

  • Complete required lab testing

  • Attend follow‑up appointments

  • Report side effects or concerns

  • Follow clinician guidance

  • Use medications only as prescribed

  • Avoid sharing or misusing medications

 

Financial Responsibility

You understand that:

  • TRT consultations may incur fees

  • Lab testing may have separate costs

  • TRT prescriptions are billed by external pharmacies

  • Fees for completed services are non‑refundable

  • Program fees may be non‑refundable once initiated

See our Terms of Sale and Refund & Cancellation Policy for details.

 

Consent to TRT Evaluation & Treatment

By proceeding, you consent to:

  • Undergo evaluation for TRT

  • Participate in telehealth consultations

  • Allow transmission of PHI electronically

  • Complete required lab testing

  • Follow clinician recommendations

  • Use external pharmacies for prescriptions

You may withdraw consent at any time by discontinuing TRT services.

 

Questions or Concerns

If you have questions about this TRT Consent, contact us:

Email: care@varo360.com Phone: 631‑486‑0000 Address: 3070 Middle Country Rd, Suite 2, Lake Grove, NY 11755