Custom Order FormsTailored Just for You
We’re taking customized care one step further.
Introducing our Custom Order Form Program — designed to simplify your ordering process and align with your clinic’s unique prescribing needs.
Why Custom Order Forms?
Whether you prescribe from a focused range of compounds or need a streamlined solution for recurring orders, we’re here to make it easier. Our new initiative allows you to personalize your order form with the products that matter most to your practice.
Fill out the request form below to begin the process
Your dedicated Empower representative will follow up to gather product preferences
Our team will create a custom form tailored specifically to your clinic
Once approved, you’ll receive a ready-to-use, clinic-branded order form
We’re Pleased to Offer This Service to Empower Clients
This initiative reflects our commitment to giving you smarter tools, faster workflows, and a more personalized experience with Empower. Streamlined, Personalized, Compliance-reviewed.
Thank you!
We can serve you from our 503A pharmacy with a prescription. Talk to your provider about prescribing with us, we look forward to serving you.
Thank you! Our team will be in touch shortly.
Thank you! Our team will be in touch shortly.
In the meantime, view shipping details and state by state coverage for our 503B outsourcing: