Below, our five step approach to assessing patients and implementing the BHRT program is described.
STEP 1: Get started online right now or contact us for further information
Click here to get started with our 5 step online registration process now. After completing a short demographic enrollment, activating your profile and logging back into our secure patient portal, you will be guided through completing your health history form, HIPAA Acknowledgement, providing your payment information for the initial consult and making your appointment—all online and easy to to!
Or, if you prefer you may contact Proactive Wellness Centers at 703-822-5003 Ext 5 to start the intake process. You will have a brief telephone conversation with our Patient Educator or our Physician/Medical Director to answer any questions that you have. If you are a candidate for one of our programs, you will be directed to our secure online intake process or if you prefer, we can provide the intake forms by mail or fax. At the end of this process, you will be given access to our 24×7 online appointment scheduling system and advised to set your appointment for 5-7 days from the day you go to the lab.
STEP 2: Go to the Lab
Using the health history form, a physician will review your health history, chief complaint and prepare a lab requisition for you. The lab requisition will be sent to you through our secure portal and you may go to either Quest or Labcorp depending on your insurance and preference to have your blood drawn. In 5-7 days, your results will be transmitted to us and we will review them prior to your initial consultation and develop our treatment plan recommendations prior to your initial visit. This approach, while unconventional, allows for a much more productive initial visit.
STEP 3: Initial Consultation
The initial consultation is 1 ½ hours long and consists of a review of your family history, past medical history, current medical problems, risks factors for preventable diseases, nutritional history, toxic substance exposure history and recent symptoms. Additionally, all of your laboratory results will be reviewed with you in detail. We explain the concept of “optimal ranges” versus the traditional concept of “reference ranges”. We then provide our recommendations for your individualized BHRT program and explain the costs involved with the specific program. Depending on your individual requirements, we will either prescribe commercially available hormone preparations or a compounded variation. Depending on your particular situation, other specialized tests may be ordered such as vitamin and nutritional assessments, stool analysis and detoxification profiles. At this point, it is the patient’s choice to commence with the BHRT program or not. Note that we do not prescribe hormones for patients not on one of our BHRT programs.
STEP 4: Starting the BHRT Program
If a patient chooses to commence with the BHRT program, the prescriptions will be prepared and submitted to the appropriate pharmacies within 24 hours. Further, patients will be provided with an individualized notebook containing their lab results, treatment plan, eating plan recommendations and appropriate reading material. The reading material is important since educated patients make the best long-term patients. Patients need to make payment arrangements with the pharmacies and/or purchase certain medications directly from the Proactive Wellness Online store. The physician or Patient Care Coordinator will provide explicit instructions for using the prescribed medications. Within 2-3 days, the patient should have received all medications and can commence with a tailored program of hormone replacement.
STEP 5: Follow-Up
Appropriate followup is the key to the success of our program since every person is biochemically unique. Accordingly, no two people respond to medications the same way. Our program is a “high touch” program by design, meaning that we provide each patient with individualized attention and direct access to the physician. The program requires new lab work and a reevaluation within the first three months of treatment, and either quarterly or every six months thereafter depending on the results, for the first year. If the hormone levels stabilize, less frequent reevaluations are required for the second and additional years.
What are the costs of the BHRT program?
The physician fee for the initial consultation is $475.00. For patients that are on hormone prescriptions or otherwise require continuing monitoring, we require one of our annual Health Assured Programs. The Health Assured Programs include quarterly/semi-annual office visits, email consultations and phone consultations as needed for the first year. The price of the BHRT program (Physician Fees Only) for the first year ranges from $975 to $1,775 depending on the number of hormones being monitored and the complexity of the patient’s treatment program. After the first year, the nature and pricing of the followup program is on a case by base basis. In addition, it is recommended that all patients commit to a nutritional supplementation program. The prices provided above do not include the cost of lab tests and the actual hormone preparations. These costs vary significantly and may or may not be covered by insurance.