Transform Your Life with Rebuild-N-Renew Wellness, LLC

There are different sets of forms to complete based on the type of treatment you are seeking. Here's a summary of the forms you need to complete for each treatment type. These forms can be found under the "New Patient Forms" drop down tab at the top of this page. Select the appropriate set of forms that correlates to the therapy you are seeking, complete all the forms listed, then submit.

For Weight Loss Management:

• Demographics
• Medical History
• Consent for Weight Loss Management
• HIPAA consent
• Medical Release
• Controlled Substance Agreement

For Hormone Replacement Therapy for Women:

• Demographics
• Medical History
• Women's Hormone Symptom List
• Consent: Women's Hormone Replacement Therapy
• Controlled Substance Agreement
• HIPAA consent
• Medical Release

For Testosterone Replacement Therapy for Men

• Demographics
• Medical History
• Men's Testosterone/Consent

For Peptide Therapy:

• Demographics
• Medical History
• Consent for Peptide Therapy
• Controlled Substance Agreement
• HIPAA consent
• Medical Release

Make sure to complete all the forms that are pertinent to your visit based on the treatment you are seeking. If you have any questions about these forms or need assistance with them, feel free to ask!

 We will send your lab orders to a walk-in lab conveniently located near you. Please note that there is an additional $35 administration fee for evaluating your labs (for new patients).

To set up an appointment, you can choose between an in-office consultation or a telemedicine appointment. There will be a $75 non-refundable fee for initial consultation. For Peptide Therapy, the initial consultation fee is $150, with subsequent appointments costing $100 each. Peptides will be priced based upon product.

 Once you have enrolled in one of our programs, completed the requisite forms, undergone the necessary lab tests, and made full payment for medication orders and services rendered, your treatment will be promptly delivered to you by mail or available for pick up in our office. Yes, it's that easy!

We create customized treatment programs tailored to your symptoms, lab results, and goals. Our prescribed injectable therapies and transdermal creams can be self-administered in the comfort of your home. 

 Please use the "Contact Us" link below to reach out and schedule your initial consultation appointment or for any other inquiries. We do not offer online booking. You can either submit all of your new patient forms or simply contact us through the provided link to get started.

 You can contact us using the website contact form below, by phone, or by email. Email is the preferred method of contact, as we typically respond within 1-2 business days.