Clinic Education Request FormRequest menopause education and training sessions for your clinic team with Victoria Byrd, RPh. CLINIC INFORMATION Clinic/Practice Name: * Address: * Main Contact Person * Role/Title: * Phone * (###) ### #### Email * Type of Education Requested (check all that apply) * Provider Education (physicians, NPs, PAs) – prescribing practices, guidelines, evidence-based care Nursing/Support Staff Training – patient communication, symptom support, advocacy Workshop or Lunch & Learn – interactive, practical session Custom Training – tailored to clinic needs Preferred Format * In-person (on-site) Virtual (Zoom or other platform) Hybrid Topics of Interest (check all that apply) * Menopause & Perimenopause Basics Hormone Therapy (guidelines, risks, benefits) Non-Hormonal Options & Lifestyle Interventions Genitourinary Syndrome of Menopause (GSM) Cardiovascular & Bone Health in Menopause Mental Health & Cognitive Changes Sleep, Stress, & Lifestyle Approaches Other SCHEDULING PREFERENCES Preferred Dates/Times: * Session Length (Select one): * 30 minute 60 minute Half-day Full-day Additional Notes or Requests: * Thank you for your inquiry. You can expect a response within the next 48 business hours.
