At the beginning of your treatment you will need at least two in-depth appointments with either Dr. Spurlock or one of our Nurse Practitioners, which will be approximately 3 weeks apart. More complex diagnostics and treatment plans, such as Chronic Fatigue and Fibromyalgia, require three or more appointments.
Dr. Spurlock has patients that come to see him from all over the U.S. and, as a result, his schedule tends to be booked out quite far. To offer better service to more people, he has highly skilled Nurse Practitioners who work under him very closely. These NPs are very highly trained and specialist trained in the areas of hormone replacement therapy, thyroid treatment, our weight loss program and the beginning treatment steps for Fibromyalgia and Chronic Fatigue.
Your first two appointments have a set cost ($399 for the 1st one-hour appointment and $369 for the 2nd one with Dr. Spurlock or $339/$309 for your 1st and 2nd appointments with a Nurse Practitioner). We ask that, for your very first appointment only, you pay a $100 deposit ahead of time when booking the appointment, which goes toward the cost of your first appointment, with the remainder of the balance is due at the time of service. This deposit is refundable as long as you allow at least a couple of days notice.
Your labs will most likely be drawn right after your first appointment. If you have a menstrual cycle, we generally try to schedule your lab work to be done on or close to day 21 of your cycle (day 1 being the first day you start your cycle.)
You should find out from your insurance provider beforehand if they will cover the cost of your lab tests. (More information about this below). If you do not have insurance coverage for these, we have a special discount program (through Quest), which offers a significant reduction in cost. We have an on-site Quest Diagnostics lab in our Dallas office for your convenience or you may have your blood drawn at the lab of your choice.
As well, please know that getting your hormones well-balanced and stabilized with diminished symptoms takes quite some work. For the first year you will be asked to come in every 3 months to check your levels and adjust them until we get everything just right. After that, follow up appointments are needed to monitor and balance your levels, as well as for continuing prescriptions. Shifts in diet and exercise, stress levels and other factors can affect your hormone levels. Continuing maintenance appointments will be every 6 months.
Your first appointment will include the following:
- An assessment of your symptoms, both what you are experiencing the day of your appointment and typical symptoms that affect you daily.
- Your health history.
- Your health goals.
- A focused physical examination.
- A recommendation for comprehensive laboratory testing personalized for your individual situation.
- A recommendation for building the foundation of your treatment plan, which may include some therapies that start immediately. We will provide you with clear guidance and walk you through the steps of your treatment process.
Our patients find that our providers listen and have interest in their patients’ long- term health. You should allow a couple of hours for this first appointment, which will include 45 to an hour with with the provider. We trust you will find that going through this process of extensive examination and testing will be well worth your investment in time.
At your second appointment, the doctor or nurse practitioner will very thoroughly review of all lab results with you and give you an interpretation of those lab results. Based on your symptoms, history and personal lab results, the provider will give you your specific diagnosis and treatment plan to address deficiencies, imbalances and other issues. Please be aware that our providers do not prescribe narcotic pain medication.
Please be sure to confirm all of your appointments with us. We need to confirm appointments so we can reschedule you if needed. We will contact you a week in advance of each of your appointments. We will start by giving you a phone call. If we don’t reach you by phone, we will send you an email and a text. You can confirm your appointment by either calling us at (214) 389-1233 or by responding to the email or text.
Preparations for your visit
Please make sure that you fill out the information required in the Patient Portal well before your appointment.
Please arrive on time or preferably a little early.
To make your visit more relaxing, please bring the following to your appointment:
- Your picture ID and insurance card,
- List of medications and supplements you are currently taking (if you haven’t already listed these in the patient portal),
- Medical release for your records from a previous doctor if you would like Dr. Spurlock to have them (you would contact your doctor’s office and ask them to send your records to us).
Any current labs or tests from another doctor or clinic must be sent ahead of your appointment at a minimum of two business days. You can fax them to 214-389-1230 or email them to email@example.com..
Completion of the in-depth medical history questionnaire is vital to the treatment process and will help get to the root cause of the problem you are experiencing. The doctor or nurse practitioner will review your health questionnaire with you, discuss possible causes of your symptoms, and determine the best treatment plan for you.
Dr. Spurlock and our nurse practitioners are not affiliated with any insurance networks. We are happy to supply you with an insurance form at your request for you to submit to your insurance company for reimbursement.
First of all, no matter what type of insurance you have, your insurance will frequently be able to cover all or a majority of your lab work. Labs written from Renewed Vitality are typically covered the same as if they were written by your regular doctor which is 90 to 100%. You should however ask your insurance company how they cover the labs and which lab network is preferred. We will make sure that any labs ordered are done through this preferred provider.
If your insurance provider does not offer to cover a majority of the lab work or if it is being applied to your deductible we recommend that you use our discount program that we offer through Quest Diagnostics.
In terms of your office visit with the doctor or nurse practitioner, we are an out of network provider. The reason for this is that when a practice chooses to accept insurance, insurance companies tell the practice how much time they can spend with each patient, what illnesses and conditions they can treat, and how they can treat it. In order to get to the root cause of the problem and provide optimal treatment we find we need more time with our patients and more treatment options than insurance companies are willing to work with.
If you have a PPO plan, it is possible that your insurance company will reimburse you for much of your office visit costs. This depends on your insurance company, what type of plan you have and your deductibles. You will pay for the appointments at the time of service and we will provide you with the necessary papers to file for reimbursement with your insurance provider.
If you are on an HMO plan, most likely your insurance will not cover any of the costs of your office visits, but will likely cover all or a majority of your lab work.
To find out what your insurance will cover we encourage you to call the customer service number on the back of your insurance card and ask a few basic questions. First of all tell them that you’re going to see an out of network provider. This means someone that is not on the insurance list of doctors. That said most PPO plans understand that people would prefer to see a doctor that they researched or that comes highly recommended from a friend. Ask your insurance company what the deductible is and what percent they will reimburse for the office visit with an out of network doctor or nurse practitioner.
When talking to your insurance customer service, tell them that your out of network provider is going to order very comprehensive lab work. Ask them specifically what percentage of the lab costs they will pay. If it is 90-100% you are better off to use your insurance. If they will cover less than 75% you will be better off to use the Renewed Vitality laboratory discount program. For your convenience, Renewed Vitality Dallas has a Quest Diagnostics Lab located right in our office.
Additional Payment Option
Care Credit is another option. We accept Care Credit, which is a separate company from Renewed Vitality. It can be used to pay for labs as well as any other services or products at Renewed Vitality.
- Must be at least $200.00 per transaction
- Zero interest if paid within 6 months (Renewed Vitality Only Offers the 6 months no interest)
- If you take over 6 months to pay it off, interest is charged, starting retroactively from the purchase date. You will need to contact care credit directly for more info, or to apply go to carecredit.com or call (800) 365-8295.