Olive Tree PROVIDER ROUNDTABLE

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We would like to learn more about you and how this PROVIDER ROUNDTABLE can best support you and your patients!

Please thoroughly answer each question. If you have any questions, email info@olivetreecompounding.com or call 505.738.3328.

We look forward to speaking with you soon!

Q4 PROVIDER ROUNDTABLE

November 7- 8, 2025 /Friday afternoon -Saturday morning

Interactive Learning and Discussions begin at 4pm. Appetizer, Dinner, and Saturday (November 8) Breakfast is included, along with leisure networking activity options.

This event is exclusively by invitation only. Every guest must complete registration.

Email *

3 minutes to complete

First Name: *

Last Name: *

Phone Number *

Practice Name (if applicable)/ city, state *

What state(s) are you licensed and/or practice in? *

New Mexico

Nevada

Wisconsin

Illinois

Georgia

Indiana

Maryland

Other:

Required

How many patients does your practice support? *

under 200

200-300

301-400

Required

Do you or have you prescribed any of the following medications? *

NAD+

Glutathione

Sermorelin

Bio-identical hormones

Required

How often do you prescribe compounded medications? *

Our patients require compounded medication more than commercial products

We have not partnered with a compounded pharmacy, but we are open to providing this option

We don't offer prescriptions for compounded medications

We send prescriptions for compounded medications less than 25% of the time

Other:

Tell us about how you are advocating for your patients in your community. Do you participate in panel discussions, research, board membership, regional/national/international professional meetings? Are you up-to-date on matters that affect the practice of compounding pharmacy? Are there any compounding treatments you'd like us to provide for your patients? Please share anything that comes to your mind. *

The main PROVIDER ROUNDTABLE Discussion takes place on Friday with Welcome Reception, Training Opportunities, Networking, and Dinner.

From Friday into Saturday morning, we have additional events that highlight New Mexico culture and encourage networking on the property of Hyatt Tamaya Resort & Spa, our event host.

Let us know if you plan on staying overnight.

We will add your name to our Provider Roundtable Rooming List for the Hyatt Tamaya Resort & Spa.

I will need to stay on the Tamaya Resort & Spa for 1 night ($305+ tax/king or queen beds available)

I will only be able to join Friday's activities

Not sure yet

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