Intelligence Partner Facility Mapping

Please check the box next to every facility that your clinic currently has access to.

A facility should be selected if any of the following apply:

• You currently source products from the facility
• You have an active account with the facility
• You have previously ordered from the facility and can still access products
• You can readily obtain products from the facility through your existing relationships or purchasing channels

The goal of this section is simply to identify which facilities are accessible through your clinic. We are not evaluating, ranking, or reviewing facilities at this stage.

Please select all compounds that you believe are among the most commonly prescribed, dispensed, requested, or discussed across the compounded therapy industry.

The purpose of this section is to help Source Standard identify which compounds are driving the majority of current demand so testing efforts can be prioritized accordingly.

If there are any commonly prescribed or emerging compounds not listed above, please add them below.

Thank you for supporting Source Standard's facility mapping and verification initiatives.