Patient Info

Thank you for choosing the HOPE Protocol. We are committed to your health and wellness. Please understand that payment for services is a normal part of your treatment and care. We believe that a good doctor-patient relationship is based on honesty, transparency, clear communications, and up-to-date patient info. Our staff will make every effort to clarify any questions you have concerning your balance.

For your convenience, we have addressed the most frequently asked questions below. If you need additional information about any of these policies, please ask to speak with our Business Manager, Alicia Wright.

Financial Responsibility

You are financially responsible for the payment of all tests and services rendered by the HOPE Protocol.

Payment

Unless previously arranged, payment is due in full upon treatment. For your convenience, we accept payment by cash, check, VISA, MasterCard, and Discover.

Missed Appointments

Because we block an hour of our valuable time to spend with you, we ask that you understand our missed appointment policy. A $450 fee will be charged for all missed appointments. To avoid being charged the $450 fee, you must notify our office at least 24 business hours (one full business day) prior to your appointment. Two (2) non-cancelled missed appointments is our limit. After your third non-cancelled missed appointment, we reserve the right to request that you seek the services of other health & wellness professionals.

Prescriptions and Refills

Our policy is for the patient to call their pharmacy and ask them to fax the request for your medication to 303-554-4444. Requests are handled within 48 business hours (two business days). Also, processing times may vary depending upon your pharmacy.

After-hours Emergencies

If you need immediate medical care outside our regular hours, please dial 911 or go to the nearest emergency room or urgent care center.

Non-emergencies will be contacted within one business day.

Patient Forms

The following form are available online for your convenience, please fill them out and bring them to your appointment:

Patient Registration

Patient Medical History

Before PRP Procedure

After PRP Procedure

Sexual Distress Scale

Medication to Avoid Before Procedure

Office Policy

HIPAA Form