At Benton Integrative Medicine, we believe hormone health is deeply personal — and your care should be too.

This intake form helps our team better understand your goals, symptoms, and overall health story so we can thoughtfully prepare for your visit. Once reviewed, our team will reach out to discuss any additional details and help schedule your consultation with Burgess, our Nurse Practitioner specializing in women’s health and hormone balance.

Our approach is comprehensive, evidence-informed, and individualized — whether you’re navigating perimenopause, menopause, cycle concerns, fertility optimization, or simply not feeling like yourself.

We are honored to walk alongside you as you restore balance, vitality, and confidence in your health.

Please complete the form below to get started. Our team will be in touch soon.