• Membership & Billing Acknowledgment (Testosterone)

    Review how your membership changes with starting testosterone therapy, then confirm your billing acknowledgment and e-sign.
  • Testosterone Therapy Patient Guide
  • Membership & Billing — What to Expect

  • Why does membership change with testosterone? Hormones work best when they're monitored continuously — not checked once or twice a year. Your symptoms, your levels, and the right dose all change over time, and safe testosterone care means adjusting as they do. That continuous clinical care is what your membership covers: reviewing your labs, adjusting your dose, and reading your check-ins between visits. The medication itself and your labs are billed separately — your prescription through the pharmacy, and labs through the lab.
  • What does your membership cost per month right now?*
  • Your membership: no change — you're on our founding member rate, and testosterone care is included.
  • Your membership: your plan will be upgraded to Tier 2 ($95/month).
  • Your membership: no change — your Tier 2 plan already covers testosterone care.
  • No problem —text the Billing & Scheduling Department at 504-389-2078, and we’ll confirm your exact monthly rate in writing before anything is charged.

    Copy and paste:
    Hi! I’m completing the Testosterone Billing Form and am not sure what my monthly membership rate will be if testosterone is prescribed. Can you please confirm it before any charge is made?
     
     

  • Your membership: a $20/month testosterone rider will be added to your current membership.
  • Your membership: no membership change — testosterone is the first hormone you're starting with us, so there is no testosterone add-on.
  • Date of Birth (MM-DD-YYYY)*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date Signed*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: