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Longevity
Wellness Centers, PLLC
4211 Pleasant Valley Road, Suite 200
Chantilly,
VA 20151
Business Phone: 703-263-1260
After Hours Phone: 703-376-1682
Fax: 703-657-0626
E-mail:
Dr. Petitt
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Services
BIO-IDENTICAL HORMONE REPLACEMENT/ANTI-AGING PROGRAM
1. Initial comprehensive assessment Patient must fill out on-line questionnaire and fax to Lite Touch ● Labs will be drawn based upon the history prior to initial appointment- will need insurance card (patient comes to Lite Touch for labs) – must be fasting ● Special testing may be needed (mammogram, bone density, etc.) ● Usually a 1 hour appointment after labs back ● Medications/supplements ordered 2. Second Follow-up in 3 months ● 1/2 hour to 1 hour ● Follow up labs drawn before visit, prescriptions will be renewed or changed based upon lab work and symptoms 3. Bhrt follow-up in 3 or 6 months ● Depends on previous appointment - if no changes were made to medications - then will be a 6 month appointment (skip to next line) 4. bhrt follow-up in 6 months ● Labs and medication refills 5. Bhrt yearly follow-up ● Includes medication/supplement orders
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Laboratory work ______________________________________________ METABOLIC REJUVENATION PROGRAM/ANTI-AGING PROGRAM (Includes Releana Weightloss program) (No BHRT) 1. Initial Comprehensive Assessment Patient must fill out on-line questionnaire and FAX to Lite Touch ● Labs will be drawn based upon the history prior to initial appointment- will need insurance card (patient comes to Lite Touch for labs) – must be fasting ● Special testing may be needed (mammogram, bone density, etc.) ● Body fat analysis will be done ● Medications/supplements ordered ● Weight loss program started 2. Follow-up visits (monthly for Releana for 3 months) - after labs and tests completed ● ½ hour to 1 hour ● Medication and supplement adjustments ● Price includes cost of Releana and visit 3. Yearly Follow-up ● includes medication/supplement orders ● laboratory work _____________________________________________ METABOLIC REJUVENATION PROGRAM/ANTI-AGING PROGRAM (Includes BHRT and Releana Weightloss program)
1. Initial Comprehensive Assessment Patient must fill out on-line questionnaire and FAX to Lite Touch ● Labs will be drawn based upon the history prior to initial appointment- will need insurance card (patient comes to Lite Touch for labs) – must be fasting ● Special testing may be needed (mammogram, bone density, etc.) ● Body fat analysis will be done ● Medications/supplements ordered ● Weight loss program started (Releana) (will have to pay $250/month for the product in addition to visit cost) ● Usually a 1 hour appointment 2. Follow-Up Visits (monthly for Releana for 3 months) – after labs and tests completed ● ½ hour to 1 hour ● Medication and supplement adjustments ● Price includes cost of Releana and visit 3. BHRT-Follow-Up In 3 or 6 Months - depends on previous appointment
4. BHRT Follow-Up In 6 Months ● labs and medication refills 5. BHRT Yearly Follow-Up ○ includes medication/supplement orders ○ laboratory work
Payment is due at time of visit. Cash, credit card or check accepted.
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