BHRT / TRT hormone-therapy governance

Your assigned physician reviews the agreed treatment menu, licensed team, protocols, records, safety processes, and issues requiring follow-up. Collaboration or supervision for one NP/PA is included in the base fee and documented for the assigned provider. Your clinical team remains responsible for patient evaluation, treatment decisions, prescribing, and hands-on care within its authority.

The accepted program receives provider-specific protocols, evaluation and ordering responsibilities, laboratory and monitoring workflow, consent, follow-up documentation, and escalation criteria. Each medication and route is reviewed individually. BHRT and TRT are standard services within Medical Wellness, with collaboration or supervision for one NP/PA included in the base fee.

MFMD provides TRT governance within the standard Medical Wellness group. The practice must have at least one NP or PA on its roster before activation; collaboration or supervision for one APP is included. Testosterone is a Schedule III controlled substance under Florida law. Evaluation, prescribing, monitoring, and applicable registrations remain the responsibilities of appropriately authorized treating professionals. These requirements are addressed in the provider-specific protocol and onboarding.

The term BHRT does not establish whether a product is FDA-approved or compounded. FDA’s commissioned review found a lack of rigorous evidence supporting broad safety and effectiveness claims for compounded bioidentical hormone therapy. MFMD reviews the actual medication and clinical plan; the service does not promise that compounded hormones are safer or more effective.

MFMD supports an RN-executed model for aesthetic medicine and IV/injection services within the nurse’s authorized role, with the required patient evaluation, orders, training, and supervision in place. Weight management, BHRT/TRT, and Advanced Peptide Therapy require at least one NP or PA on the facility roster under MFMD’s service model. You may identify a planned APP while estimating; the provider and collaboration arrangements must be confirmed before activation. One APP is included in the base fee. An RN or electrologist does not replace the APP required for Medical Wellness.

One wellness service group is $1,500/month; both groups together are $2,000/month. Collaboration or supervision for 1 APP is included; each additional APP is $500/month and each electrologist addition is $500/month. Initial setup is $2,000 for one group or $3,000 for both, including the first 30 days of governance. Adding the second group to an accepted existing operation is $1,000; a new procedure protocol within an accepted group is $250. The proposal confirms which setup applies.

Enter the facility ZIP, choose the applicable services, and describe your team and existing protocols. Review your estimate before providing contact details. MFMD then reviews the operating facts and documents, confirms the assigned physician, initial on-site assessment, scheduled visits, and any required treatment-day arrangements, and issues the agreed scope and start date. An EMR is required and must be in use with physician access before governance begins. You may complete a planning estimate while choosing the platform; paper-only clinical operations are not accepted. No clinical services begin merely because a form was submitted.

Clinical review of pharmacies, products, and formularies is included. When MFMD participation is needed to establish or maintain up to 2 approved accounts, account setup and administration adds $500/month. The same account-support charge applies to an APP-led Medical Wellness practice or an RN-executed aesthetic/IV practice; it does not change professional authority. For example, weight management plus Advanced Peptide Therapy in one group, with one included APP and account administration, is $2,000/month; initial setup for that group is $2,000. Medication, pharmacy, device, and third-party charges are separate.