Next, you’ll schedule your appointment.
No need to re-enter insurance details - just select “No Insurance” (you already entered it!).
Choose your service:
→ For mental health care: Behavioral Health – Telehealth
→ For hormone & metabolic care: Specialized Exam
Reason for visit - Required | What reason should I choose?

Watch for a Message from Your Account Specialist
We’ll reach out via Spruce to help you complete setup. Here’s what to expect:
For Insurance Patients:
✔️ Confirm your connection to Spruce and Athena Patient Portal
✔️ Complete insurance verification
✔️ Review any copay, deductible, or out-of-pocket costs
✔️ Add your payment or HSA card to Athena
For Self-Pay or Subscription Patients:
✔️ Confirm your connection to Spruce and Athena Patient Portal
✔️ Complete your self-pay or subscription agreement
✔️ Add your payment or HSA card to Athena
✔️ Prepay for your first visit or first subscription payment
✔️ Authorize card-on-file use and confirm monthly billing
Final Confirmation
Once payment and verification are complete, we’ll finalize your appointment and you’re officially set!
📲 Important:
You’ll receive a text invite to Spruce - please allow notifications so we can stay connected and support you.
⏳ Note: All appointment requests stay pending until payment and verification are completed.