Patient Policies & Acknowledgment

1. Intake Forms & Appointments

I agree to complete all required intake forms prior to my appointment. Failure to do so may result in appointment cancellation.
I understand that failure to attend a scheduled appointment without notice will result in a $30 no-show fee.

2. Payment Policies

All services are self-pay and must be paid for at the time of service.
Payment plans may be arranged monthly or for multiple months in advance, as agreed upon by both parties.
If multiple months of therapy are dispensed, I am responsible for the full balance of all products provided, regardless of payment schedule.
I acknowledge that no refunds are available for services rendered or medications dispensed.
Dispensed or used medications cannot be returned under Florida state regulations.
I understand that health insurance does not cover services provided by Apex Testosterone and Weight Loss Institute.

3. Medication Use & Controlled Substances

I acknowledge that testosterone is a controlled substance under federal and Florida law.
I agree to take all medications only as prescribed and to follow all provider instructions.
I agree not to sell, share, transfer, or misuse any prescribed medication.
Any misuse, dose deviation, diversion, or noncompliance will result in immediate discontinuation of treatment without refund.

4. Nature of Treatment

I understand that treatments provided may not be considered medically necessary by insurance carriers or other medical organizations.
Services are intended to support hormone balance, metabolic health, weight management, and quality of life.
I acknowledge that an appointment does not guarantee a prescription. All treatment decisions are made at the sole professional discretion of Brenden Watkins, APRN, based on clinical judgment and applicable regulations.

5. Follow-Up Care, Laboratory Monitoring & Scope of Care

I understand that regular follow-up appointments and laboratory monitoring are required to continue treatment.
I acknowledge that continuation of therapy is based on clinical findings, lab results, and provider discretion.
I confirm that risks, benefits, side effects, and alternatives have been explained to me.
I understand that Apex Testosterone and Weight Loss Institute is not a primary care practice and does not provide comprehensive medical care.
I agree to maintain an established relationship with a primary care provider and to seek urgent or emergency care as appropriate.
I agree to inform my primary care provider of treatments received through Apex.

6. Preventive Screening & Coordination of Care

I understand that the clinic does not provide prostate cancer screening, colon cancer screening, digital rectal exams, or age-appropriate preventive care services.
I agree to obtain recommended screenings through my primary care provider.
I acknowledge that failure to obtain appropriate screening may impact my treatment plan.
I agree to provide relevant screening results to Apex when requested.

7. Voluntary Participation

I am voluntarily requesting care from Apex Testosterone and Weight Loss Institute, including hormone therapy, medical weight loss, and adjunctive treatments, even if laboratory values fall within ranges considered “normal” by other guidelines.
I understand that participation is elective and may be discontinued at any time by either party.

Client Acknowledgment

By signing below, I acknowledge that I have read, understand, and agree to all policies above. I understand that these policies govern my care and participation at Apex Testosterone and Weight Loss Institute.

LEGAL FOOTER

Apex Testosterone and Weight Loss Institute is a registered fictitious name of Replacementt HRT for Men LLC.

All services are provided in accordance with Florida law and applicable professional standards.

Privacy Policy

OUR LEGAL RESPONSIBILITIES

We are required by law to give you this notice. It provides information on how we may use and disclose protected health information about you and describes your rights and our obligations regarding the use and disclosure of that information. We shall maintain the privacy of protected health information and provide you with notice of our legal duties and privacy practices with respect to your protected health information.

We have the right to change these policies at any time. If we change our privacy policies, we will notify you of these changes immediately. This current policy is in effect unless stated otherwise. If the policy is changed, it will apply to all your current and past health information.

You may request a copy of our notice at any time. You may contact Apex Testosterone and Weight Loss Institute at brenden@apex-institute.com to request a copy of this privacy policy.

HOW WE MAY USE OR DISCLOSE YOUR PROTECTED HEALTH INFORMATION

The following examples describe ways that we may use your protected health information for your treatment, payment, and healthcare operations, but please be advised that not every use or disclosure in a particular category will be listed.

Treatment:

We may use and disclose your protected health information to provide you treatment. This includes disclosing your protected health information to other medical providers, trainees, therapists, medical staff, and office staff involved in your care.

For example, your medical provider may consult with another provider to coordinate your care. Office staff may also disclose protected health information to external parties such as pharmacies when prescriptions are issued.

Payment:

Your protected health information may be used to obtain payment from insurance companies or other third parties, including providing information for pre-authorization of prescribed medications.

Health Care Operations:

We may use or disclose your protected health information to operate this medical practice. Activities include quality improvement, case review, training, and contacting you by phone, email, or text for appointment reminders.

If protected health information is shared with third-party business associates (such as billing services), we maintain written agreements requiring appropriate safeguards.

Marketing Communications:

We may use protected health information for limited marketing communications, such as sending informational updates or service announcements. You may opt out of these communications at any time.

We will not use or disclose your protected health information for purposes other than those described without your written authorization. You may revoke authorization at any time, except for information already disclosed.

Appointment Reminders:

We may contact you via phone, email, or text regarding appointments, follow-ups, or laboratory testing.

Others Involved in Your Health Care:

With your permission, or if given an opportunity to object and you do not, we may disclose protected health information to family members or others involved in your care. In emergencies, disclosures may be made in your best interest based on professional judgment.

Research:

We will not use or disclose protected health information for research without your authorization.

Organ Donation:

If applicable, protected health information may be disclosed to organizations involved in organ or tissue donation.

Public Health Activities:

Protected health information may be disclosed to public health authorities to prevent disease, report adverse events, or comply with FDA requirements.

Health Oversight:

We may disclose protected health information for audits, investigations, inspections, or licensing activities conducted by health oversight agencies.

Required by Law:

Protected health information will be disclosed as required by federal, state, or local law.

Workers’ Compensation:

Protected health information may be disclosed as required for workers’ compensation or similar programs.

Legal Proceedings & Law Enforcement:

We may disclose protected health information in response to court orders, subpoenas, or lawful law enforcement requests.

YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION

Access:

You may request access to or copies of your medical records used to make decisions about your care. Requests must be submitted in writing. Reasonable fees may apply.

Amendment:

You may request correction of inaccurate or incomplete information. Requests must be submitted in writing with justification. Denials will be provided in writing if applicable.

Accounting of Disclosures:

You may request an accounting of certain disclosures of your protected health information, subject to legal limitations. Reasonable fees may apply.

Restrictions:

You may request restrictions on the use or disclosure of your protected health information. Requests must be in writing and will be honored unless disclosure is required by law.

Confidential Communications:

You may request confidential communications in a specific manner or location, provided it is reasonable.

Paper Copy:

You may request a paper copy of this notice at any time.

Complaints:

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services. No retaliation will occur for filing a complaint.

Contact Information

Brenden Watkins, APRN

Apex Testosterone and Weight Loss Institute

📧 brenden@apex-institute.com

Apex Testosterone and Weight Loss Institute is a registered fictitious name of Replacementt HRT for Men LLC.

Patient Policies & Acknowledgment

Privacy Policy

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