Female Hormone Optimization

Policy & Consent Addendum
Hormone Replacement Therapy – Risks & Side Effects

By initiating hormone replacement therapy (HRT), you acknowledge that while treatment may relieve symptoms such as hot flashes, night sweats, mood swings, low libido, brain fog, and vaginal dryness, it also carries potential risks and side effects.

📋 Common Side Effects:
Breast tenderness
Bloating or water retention
Nausea or headaches
Mood changes
Light spotting or irregular cycles (if not postmenopausal)
Application site irritation (patches or creams)

⚠️ Less Common / Serious Risks:
Blood clot formation (especially with oral estrogen or smoking)
Gallbladder issues
Elevated blood pressure
Changes in liver enzymes
Endometrial thickening if not on progesterone
Breast density changes or cancer risk (long-term, debated)

👉 Routine labs and symptom tracking are required at months 3, 6, and 9. Refills will not be issued without current labs and follow-up appointments.

Please note: This is an individual membership and cannot be transferred to another person for the use of, services, or any benefits included in the membership.

Please note: The cost of hormone therapy/TRT medications (such as testosterone, progesterone, or compounded creams) is included in the monthly membership.

💬 Communication Policy
At Bottumzup Health & Wellness, we prioritize timely communication and patient care while maintaining clear boundaries for safety.

Business Hours:
Monday–Thursday: 6 PM – 10 PM
Friday: 6 PM – 9 PM

VIP Members:
Responses within 60 minutes during business hours.

Standard HRT Members:
Responses within 24 business hours.

Who are VIP members?

-Patients who are part of multi-program bundles (e.g., HRT + Weight Loss + Skin membership)

-Patients who prepay for 6–12 months of service

After-Hours & Weekends:
Please note: Our office is Closed Saturdays and Sundays.

Messages—including those via social media—will be answered on the next business day.

🚨 For medical emergencies, please dial 911 or visit your nearest emergency department.

I understand that hormone therapy is being provided by Bottumzup Health & Wellness and agree to follow the treatment plan as outlined by my provider.

By signing below, I consent to receive hormone replacement therapy through Bottumzup Health & Wellness, and acknowledge that I have read and understand the potential risks and benefits.

🔁 Cancellation Policy

You may cancel your HRT membership at any time with a 7-day written notice before your next billing cycle.

Cancellations must be submitted via email or secure patient portal message.

Important: If the 7-day notice is not provided, you will be charged for the next cycle, and cancellation will take effect the following month.

💸 Refund Policy

Consultation and enrollment fees are non-refundable.

Monthly membership fees are non-refundable once charged, as services, care coordination, and prescriptions are initiated immediately.

No prorated refunds are provided for partial use of services.

Failure to complete required labs or follow-ups does not warrant a refund.

Ongoing treatment requires compliance with membership expectations.

🖊️ Membership Enrollment & Fee Acknowledgment

By enrolling in the Women’s HRT Membership at Bottumzup Health & Wellness, I acknowledge:

A one-time $150 enrollment fee

A monthly recurring membership fee of $150, or $125 if I am currently enrolled in the Weight Management Program

Charges are applied every 30 days from the enrollment date

I understand that timely payment, regular lab as outlined in membership, and follow-up visits are essential for safe and effective testosterone therapy.

Ongoing compliance with labs and follow-ups is required for treatment continuity

I understand potential risks and commit to reporting side effects for appropriate provider guidance

I commit to reporting any side effects promptly and maintaining my membership for uninterrupted treatment.

Effective Date: These policies and updated membership fees are effective as of July 7, 2025.

Grandfather Clause: Patients enrolled ONLY in Womens HRT program prior to this date will NOT be subject to the new consultation fee.

 

Monthly membership isn't just about visits or medication — it's about full access to care, ongoing monitoring, and proactive support. 

Please note: It’s a comprehensive plan tailored to your long-term wellness — not just refilling a vial.