If you are late or miss your appointment, you may be subject to a $50 fee.

 Services must be paid for at the time of service.

Health insurance typically does not cover services provided at Alpha Health & Wellness. I understand that insurance will not be billed, nor cover any services provided by Alpha Health & Wellness.

Testosterone is considered a controlled substance. I agree that I will take my medications as prescribed. I agree to follow my medical providers instructions. I also agree that I will not sell or share my prescriptions to other individuals.

I understand that treatments used at Alpha Health & Wellness might not be considered a medical necessity. Treatments rendered are for the purpose of improving your quality of life through hormone restoration, nutritional and supplemental counseling, and possibly weight loss treatment.

I agree that if I am having any side effects or become sick, that I will follow up with my primary care provider or go to an urgent care or emergency department.

I acknowledge that Alpha Health & Wellness and Colbe Ingels, FNP-BC are not my primary care provider unless previously arranged. I agree that I will continue with routine care through my primary care provider and notify them of treatments prescribed at Alpha Health & Wellness.

I understand that there are no refunds for services or products rendered. We cannot accept back used medications once they have been dispensed per state regulation.

I understand that having an appointment with Alpha Health & Wellness does not necessarily entitle me to being issued a testosterone prescription. Every individual is different and it is at the medical providers discretion to issue a testosterone prescription.

I understand that I must maintain my follow up appointments to remain on treatment. It is important that lab work is monitored regularly for safety purposes. It is important that Colbe Ingels, FNP-BC manages my treatment, and it is at their discretion to provide services.

I acknowledge that I have been advised of the risks and benefits of treatment. I also acknowledge that I have been advised of possible complications and side effects. I understand the risks, benefits, complications, and side effects of treatment.

I understand that at any time, I may be dismissed from the practice by Colbe Ingels, FNP-BC for any reason deemed necessary by him other staff at Alpha Health & Wellness. I do not hold any medical practitioner of Alpha Health & Wellness responsible for any negative consequences of being dismissed from my membership and from their practice.

I do not hold any medical practitioner of Alpha Health & Wellness responsible for performing prostate cancer screening, colon cancer screening, digital rectal exams, or other age-related preventive care. I agree that I will follow up with my primary care provider to obtain these screenings and I hold Alpha Health & Wellness and Colbe Ingels, FNP-BC harmless if an adverse event occurs during my treatment. I will ensure that my primary care provider provides the results of such screenings to Alpha Health & Wellness, as this could change the treatment prescribed to me.