About My Condition Form

Interested in a Nu-Living Program? Or not sure which program is the right one for you? Let us help you decide. Begin by telling us about yourself so Dr. Terlinsky can assess your needs to create the perfect program for you. There's no obligation, and your information will remain confidential. If you are not interested in a program but would like to contact Dr. Terlinsky or his staff please use our general contact form.

Nu-Living Programs

Choose the Nu-Living program you are interested in.

Personal Information

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Membership Wishes

How soon do you want to start a program:

When is a good time to contact you to discuss Nu-Living programs:

What phone number would you like us to call:

Emergency Contact Information

Medical Information

*List your current medical conditions and their duration:

*Please list your current medications: (if you are not taking medication, please type "none".)

*Please list your reasons for coming to the NuLiving Wellness Center:

*Please list the type of physicians that you are currently seeing:

Appointment Policy

MISSED APPOINTMENTS, RESCHEDULING & NOTIFICATION POLICIES

I understand that by making an appointment, I am committing to appear at the appointed time, and that by the time of my initial visit a $200 non-refundable deposit will have been made and will be credited to my account.

I understand that the Doctor's time is in high demand, and that missed appointments and missed telephone consultations are unacceptable and will be charged according to Nu-Living Programs Financial Policies.

I understand that it is unacceptable for me to cancel my appointment. I agree to provide a minimum of seven (7) business days notice for all appointments. Weekend days are NOT included in the above polices so that a Monday appointment MUST be canceled no later than the previous Monday.

I understand that notification must be called into the office during normal business hours, and that cancellation and/or rescheduling messages left with the answering service are not acceptable.

I understand that failure to comply with this policy will result in the forfeiture of my deposit - of $200.00 advance payment for the next month.

Billing and Payment Agreement

NU-LIVING PROGRAMS ARE NOT COVERED BY INSURANCE

I understand that Nu-Living will not submit claims to any insurance company for any service or supplies; that Nu-Living Programs due to their specialized nature are unable to describe these services in ICDM-9 language which is required by insurance companies; and that Nu-Living is not obligated to respond to insurance company requests for information. I understand that Nu-Living has no contractual relationship with any insurance company or Medicare.

PAYMENT AT TIME OF SERVICE

Payment for all services and supplies are due in full at the time of service, even though I may belong to an HMO, Medicare, CHAMPUS, PPO or any other insurance company, I understand that Nu-Living is not a provider for any insurance company.

UNMET FINANCIAL COMMITMENT

I understand that if I fail to meet my financial commitment for my NuLiving Wellness Program, I agree to pay all costs and expenses incurred by Nu-Living Programs for the collection of my account, including attorney and collection agency fees.

UNDERSTAND & ABIDE BY APPOINTMENT POLICIES

I understand that Nu-Living Programs have specific polices for rescheduling program appointments, and agree it is my responsibility to read, acknowledge, and abide by those policies.

Weight Management Fee Agreement

Fees for Medical Services (physical): As per Contracted Insurance Policy ($350.00 if insurance is not accepted).

Initial Comprehensive Medical Consultation History and Physical. Insurance accepted minus deductibles and co-payments for the Medical Consultation and History and Physical. EKG Lab Tests ordered will go through medical insurance and appropriate contracted insurance lab. Diagnosis and symptoms that are present will be used to help gain entitled, legal medical benefits.

Initiation of Weight Loss Program ($575.00)

  • Initial Comprehensive Metabolic and Nutrition History
  • Behavior History
  • Emotional Disorders Screen
  • Eating Disorders Screen
  • Weight Loss Readiness Screen
  • Exercise Habits Analysis
  • Body Fat Analysis
  • Anthropometric Measurements
  • Diet and exercise log
  • Initiation of Nutrition Education
  • Fitness and Behavior Modification Program
  • Eating Plan Design
  • Exercise Prescription
  • Diet Personality Analysis
  • Diet Match Analysis

Comment: This is the longest visit of the program. It is an intensive evaluation providing one on one care and attention for the patient which lasts for several hours. Dr. Terlinsky and his staff devote this session to a detailed analysis of a patient's past medical and weight history by integrating the results of detailed and powerful screening material with a focused and thorough interview with the weight control patient. Lasting several hours, Dr. Terlinsky and staff are able to provide the time to his patient which is extremely important to success in weight control but often missing in today's impersonal and assembly-line medical office environment created by "Managed Care".

During this intensive session the long term weight control plan is designed by Dr. Terlinsky with patient participation. After a nutrition plan and strategey are introduced, other important components of weight control are discussed. These include the possible use of appetite modifying medications and nutrient supplement recommendations. The patient has his or her present metabolism defined and explained to aid in the education of the patient about present risk factors, parameters which will be followed to assure healthy body fat loss, appropriate long term weight goals and realistic rate of body fat loss - the beginning of the body weight and fat control process. Lifestyle and dietary change readiness are also explored.

Preparing for Long-Term Success:

  • Patients are prepared for success in the weight control process.
  • Educational materials are provided as well as suggested reading material specific to the patient's unique problems.
  • The patient is also given initial parameters for activity and exercise requirements needed for weight control and tools for self-monitoring.
  • Meal replacements and supplements with detailed instructions are explained and introduced into the patient’s dietary program.
  • Menus, recipes, food lists and other resources are provided to assist the patient in planning varied and tasty structured meals.

Monthly Professional Program for Ongoing Weight Loss ($280.00):

  • Behavior Modification Monthly with Dr. Terlinsky
  • Nutritional Education Monthly with Staff and Dr. Terlinsky
  • Weight Loss Monitoring And Other Bariatric Services
  • Body Composition Monitoring including BMR
  • E-mail access to Dr. Terlinsky via patient portal
  • Exercise Monitoring
  • Food Diary Analysis
  • Nutrition and Weight Loss Plan, Revision as needed.
  • Three Meal replacement * per day integrated into daily food plan
  • Guided Shopping Tour
  • Weekly Office Weigh-Ins

Note: Essential to Dr. Terlinsky’s Weight Control Plan is the use of Meal Replacements, and Nutritional Supplements. These delicious functional foods provide many benefits including calorie and portion control, reduction of the need for tedious food preparation, an easy method of providing low fat, low calorie protein sources; an excellent way to create balanced, daily calorie intake, blood sugar and appetite control, and many others. Research has shown that meal replacements result in better weight loss rates and more consistant weight loss. These products come in the form of shakes, pudding, bars, soups and other styles, to be used as complete meal replacements or as supplements to meals or as planned snacks. We carry several different types and forms such as powder packets, powder shake bottles, and pre-mixed, ready-to-drink products.

While some of Dr. Terlinsky’s programs are without the use of these products, it is expected and recommended that most patients will use at least three of these products per day. Those patients who are not willing to use these products may not be appropriate for this program. Other meal plans consist of 4 to 7 products per day. A very low calorie diet (VLCD) uses only meal replacements. This program requires much more medical supervision.

The basic fee for On-Going Weight Loss is based on three products of the Nutrimed family. The use of other products such as the meals to go or premixed shakes are priced higher. If more than three products are used, the monthly charge will also be more.

NU-LIVING WEIGHT MANAGEMENT PROGRAM STRUCTURE AND FEES

Nu-Living Weight Management is a total program of services and products. The overall program length is variable, and organized into twelve-week blocks which are divided into monthly units for the components listed above.

MONTH 1: Includes the lengthy Program Initiation Visit (see above) Fee ($575.00) in addition to the ongoing Monthly Weight Loss Component Fee, ($280.00)for a total first-month cost of $855.00 (plus supplement fees).

MONTHS 2 & 3 - consist of the Monthly Weight Loss Component Fees ($280.00 each), bringing the 3-month total program cost to $1,415.00. Please note that this cost of $1,415.00 does not include additional meal replacements, vitamins or nutraceutical costs. Payment is expected at the beginning of each program month.

Note: the term “MONTH” refers to any 30-day period starting at the first appointment date - so the “PROGRAM MONTH” is not necessarily the same as the “CALENDAR month”. A patient starting his or her program on January 15th, would have PROGRAM months beginning the 15th of each month.

For patients who are willing to pre-pay the entire 3-month program cost at the time of the first visit, a 10% discount will be applied - bringing the 3 month program cost to ($756.00 ), pre-paid. After 3 months, patients in the active weight loss phase may elect to continue month-to-month at the usual monthly fee of ($280.00 ); OR, pre-pay another 3 month block at a fee of ($756.00 ).

All monthly fees or 3-month pre-paid fees are NON-REFUNDABLE. While we will do everything possible to reasonably accommodate the scheduling of appointments, NU-LIVING WEIGHT MANAGEMENT requires a 1-Week Cancellation Policy for monthly visits and for the initial visit. All INITIAL APPOINTMENTS REQUIRE A $200.00, NON-REFUNDABLE DEPOSIT TO CONFIRM AND RESERVE THE APPOINTMENT.

Accepted: All Major Credit Cards are accepted (Not American Express) and Cash. Insurance is not accepted.

Program Text Books And Manuals: $25.00-30.00.

Vitamins And Other Supplements: Variable Cost...Not Included In Basic Fees.

Will Health Insurance Pay for NuLiving? The NuLiving Weight Management program does not participate with health insurance plans. This means that the following is not submitted to insurance:

  • Comprehensive Assessment and Functional Bariatrics Evaluation
  • Foundation Educational Process

Monthly Professional Program Fee for:

  • Behavior Modification
  • Nutritional Education
  • Weight Loss Monitoring
  • Other Bariatric Services
  • Products and supplies

Medical services provided by Alan Terlinsky MD PC are submitted to insurance. Examples include History, Physical examination, and some tests performed during your physical. Checks and Visa credit cards are accepted.

Global Assessment Fee & Deposit : For those patients who do not have health insurance a global fee of $350.00, is offered for the initial assessment including medical history & physical and the above described bariatric services. This does not include the monthly fees or fees for the monthly supplements. This global fee is provided by Nu-Living Weight Management.

A non-refundable deposit of $200.00  The reason for this fee is to reserve the several hours of the doctor’s time required for your foundation session. This deposit can be applied to your first visit.

Anti-Aging Fee Agreement

Important information about Alan S. Terlinsky MD PC, NuLiving Optimal Wellness and Longevity Center,PLLC (NLOWLC,PLLC), Anti-aging/Restorative Medicine Program (AARMP)

Please review the information below on the fees for the Nuliving Optimal Wellness and Longevity Center, PLLC (NLOWLC ,PLLC)
Anti-aging/Restorative Medicine Program (AARMP)
FEES : NLOWLC,PLLC (AARMP)

Gold Longevity Evaluations $1700 + (Cost of comprehensive medical consultation history and physical and various diagnostic tests using medical insurance)
OR
Gold Longevity Evaluations $2050
(including cost of comprehensive medical consultation history and physical and various diagnostic tests) for patients without health insurance.
OR
Platinum Longevity Evaluations - $1900
+ (Cost of comprehensive medical consultation history and physical and various diagnostic tests using medical insurance)
OR
Platinum Longevity Evaluations $2250
(including cost of comprehensive medical consultation history and physical and various diagnostic tests) for patients without health insurance

For patients with Aetna or certain other insurance companies
(check with office)
Gold Longevity Evaluations $2173 + (Cost of comprehensive medical consultation history and physical and various diagnostic tests using medical insurance)
OR
Gold Longevity Evaluations $2523 (including cost of comprehensive medical consultation history and physical and various diagnostic tests) for patients without health insurance
PLLC Platinum Longevity Evaluations $2373 + (Cost of comprehensive medical consultation history and physical and various diagnostic tests using medical insurance)
OR
Platinum Longevity Evaluations $2723 (including cost of comprehensive medical consultation history and physical and various diagnostic tests) for patients without health insurance.

Finally, NLOWLC,PLLC has been able to arrange a significant discount for blood work for patients who have no insurance or a high deductable . In many cases , patients are better off paying cash for a discounted rate for lab than going through their insurance policy. If you are interested in this arrangement, please call for information

This program involves services from two different corporations:
1.) Alan Terlinsky MD PC
2.)Nuliving Optimal Wellness and Longevity Center, PLLC (NLOWLC ,PLLC)
Each of these entities contributes services which , when put together make up the entire Anti-aging/Restorative Medicine Program (AARMP). Please see the details below for a description of these services, the costs and information about which services are submitted to insurance and which services are fee-for-service NOT submitted to insurance.
Generally , Alan Terlinsky MD PC has contracts with many insurance companies and therefore many of the services performed by Alan Terlinsky MD PC for the NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP ) are under insurance contract and are submitted to insurance on a one time basis. All follow-up services for the Anti-aging/Restorative Medicine Program (AARMP) are rendered by NuLiving Optimal Wellness and Longevity Center,PLLC (NLOWLC,PLLC) and are not submitted to insurance. Nuliving Optimal Wellness and Longevity Center, PLLC (NLOWLC ,PLLC) has no insurance contracts and ALL services provided by NLOWLC ,PLLC are strictly fee-for-service. We respectfully ask that our patients acknowledge this information, refrain from requesting the Anti-aging/Restorative Medicine Program (AARMP) under insurance and understand that NLOWLC ,PLLC will not file ANY insurance claims or be bound by any insurance company fee structures.
NLOWLC ,PLLC will provide a summary of services which in many cases will allow patients to file their own claims with their insurance companies, health savings accounts , flex accounts etc for reimbursement consideration. NLOWLC ,PLLC will not provide CPT codes or other standard insurance reporting information as the services provided by NLOWLC ,PLLC are not codeable using standard CPT codes. Many of the services are preventative often NOT reimbursed by typical insurance companies. NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP) is a form of complementary and alternative medicine. Many insurance companies do not recognize the services provided by NLOWLC,PLLC or consider these services experimental and not meriting insurance company reimbursement. NLOWLC,PLLC will not provide any records or communications to insurance companies. All records provided by NLOWLC,PLLC will be associated with an administrative fee. Patients are advised to read about the policies of NLOWLC,PLLC and patients will be asked to acknowledge in writing the NLOWLC,PLLC at the time of joining NLOWLC,PLLC program.

The NLOWLC ,PLLC Bio Anti-aging/Restorative Medicine Program (AARMP) requires a thorough initial comprehensive medical consultation history and physical and various diagnostic tests. This comprehensive medical consultation history and physical and various diagnostic tests is provided by Alan Terlinsky MD PC.
The Fees for the comprehensive medical consultation history and physical and various diagnostic tests ( EKG, Pulmonary function , Chest x-ray , etc.) which are provided by Alan Terlinsky MD PC are dependant upon specific contractual agreements between Alan Terlinsky MD PC and any insurance company with which Alan Terlinsky MD PC is contracted. (Insurance is accepted minus deductibles and co-payments for comprehensive medical consultation history and physical and various diagnostic tests) Lab Tests which are ordered will be submitted to medical insurance for contracted services {Lab tests are submitted to insurance company by the lab performing the services } Diagnosis and symptoms that are present will be used to help gain entitled, legal medical benefits.
If a patient has no insurance or has insurance from a company or entity which Alan Terlinsky MD PC does not contract with, there is a flat rate charge of $350.00 for the comprehensive medical consultation history and physical and various diagnostic tests. Remember this $350.00 is ONLY for the comprehensive medical consultation history and physical and various diagnostic tests NOT the entire NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP) which is an additional $1700 to $2700 dollars or more depending on the options chosen by the patient.
Again it is important to remember that Alan Terlinsky MD PC is a distinct business corporation which is independent of Nuliving Optimal Wellness and Longevity Center, PLLC (NLOWLC,PLLC) which is also a separate and distinct business corporation. NLOWLC,PLLC is a fee for service business which has NO insurance company contracts and obligations. All fees charged by NLOWLC,PLLC are solely determined by NLOWLC,PLLC .

The information below depicts the components and the fees for the NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP) The information describes what the total components are of the NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP) and which entity is performing the services. This information allows patients to know what is included in the NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP) . Additional charges as described above for the comprehensive medical consultation history and physical and various diagnostic tests which are provided by Alan Terlinsky MD PC are also displayed below. A similar outline also appears below to show all the services and charges for the NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP) when patients elect to use the flat fee option of $350.00 for the comprehensive medical consultation history and physical and various diagnostic tests. As mentioned above the flat fee option is available to patients who have no insurance.
Initiation of NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP)
(Fees see above)
• NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP)***
• History and Physical Wellness Assessment*
• Complete Blood Hormone Assessment **
• EKG *
• Urinalysis **
• Standard Bloodwork **
• H-SCAN Biological Age Measurement***
• Brain neurotransmitter levels standard***
• detoxification need assessment***
• Free radical measurement***
• heavy metal screen***
• Vitamin & antioxidant levels***
• Cardiovascular Blood Test **
• Body composition Measurement ***
• Caloric needs determination static***
• Cardiovascular Profiler (artery stiffness) *
• Fitness Recommendations***
• Nutrition Evaluation & Recommendations***
• Personalized Health Plan Notebook ***
*Service performed by Alan Terlinsky MD PC and not included in the program fees for NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP) see above
**Service performed by outside lab and not included Program fee.
*** Service performed by NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP )and included Program fee.
• For Patients who DO NOT have Health Insurance or Insurance that Alan Terlinsky MD PC accepts: The NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP) Fee is as stated above in the all inclusive examples
• Anti-aging/Restorative Medicine Program (AARMP) *
• History and Physical Wellness Assessment *
• Complete Blood Hormone Assessment**
• EKG*
• Urinalysis**
• Standard Bloodwork**
• H-SCAN Biological Age Measurement*
• Brain neurotransmitter levels standard*
• detoxification need assessment*
• Free radical measurement*
• heavy metal screen*
• Vitamin & antioxidant levels*
• Cardiovascular Blood Test**
• Body composition Measurement*
• Caloric needs determination static*
• Cardiovascular Profiler (artery stiffness)*
• Fitness Recommendations*
• Nutrition Evaluation & Recommendations*
• Personalized Health Plan Notebook*
*Service performed NLOWLC,PLLC Anti-aging/Restorative Medicine Program (AARMP)and included Program fee.
**Service performed by outside lab and not included Program fee.
NLOWLC,PLLC charges for all contacts with Dr. Terlinsky pertaining to on going program management. If patients agree to the following schedule of program followup, brief phone calls to Dr. Terlinsky and staff are not charged. In addition , Dr. Terlinsky offers an alternative arrangement of a monthly fee for 100 dollars per month. Patients electing this arrangement will be given a special secure e-mail to communicate with Dr. Terlinsky and his private cell phone number for 24/7 access to Dr.Terlinsky .

First Year
Suggested followup visits in person or by phone (for out of town patients) at 1,2, 3 , 6 and 12 months.

Second Year
Quarterly Visits

Follow-up visit short approximately 35 minutes $225
Follow-up visit intermediate approximately 45 minutes $275
Follow-up visit standard approximately 60 minutes $300
Follow-up visit extended 1 approximately 95 minutes $525
Follow-up visit extended 2 approximately 105 minutes $575

Follow-up visit extended 3 approximately 120 minutes $600
Global Assessment Fee & Deposit : For those patients who do not have health insurance a set fee of $350.00, is offered for the medical history & physical and diagnostic services.
A non-refundable deposit of $200.00 is required when an appointment is made. The reason for this fee is to reserve the several hours of the doctor's time required for your foundation session. This deposit can be applied to your first visit

Bio-Identical Hormone Fee Agreement

Important information about Alan S. Terlinsky MD PC, NuLiving Optimal Wellness and Longevity Center,PLLC (NLOWLC,PLLC), BHRT Program

Please review the information below on the fees for the Nuliving Optimal Wellness and Longevity Center, PLLC (NLOWLC ,PLLC)
Bio-Identical Hormone Replacement Program:
FEES :
$1250 + (Cost of comprehensive medical consultation history and physical and various diagnostic tests using medical insurance)
OR
$1600 complete (including cost of comprehensive medical consultation history and physical and various diagnostic tests) for patients without health insurance
This program involves services from two different corporations:
1.) Alan Terlinsky MD PC
2.)Nuliving Optimal Wellness and Longevity Center, PLLC (NLOWLC ,PLLC)
Each of these entities contributes services which , when put together make up the entire Bio-Identical Hormone Replacement Program. Please see the details below for a description of these services, the costs and information about which services are submitted to insurance and which services are fee-for-service NOT submitted to insurance.
Generally , Alan Terlinsky MD PC has contracts with many insurance companies and therefore many of the services performed by Alan Terlinsky MD PC for the NLOWLC,PLLC Bio-Identical Hormone Replacement Program. are under insurance contract and are submitted to insurance on a one time basis. All follow-up services for the Bio-Identical Hormone Replacement Program are rendered by NuLiving Optimal Wellness and Longevity Center,PLLC (NLOWLC,PLLC) and are not submitted to insurance. Nuliving Optimal Wellness and Longevity Center, PLLC (NLOWLC ,PLLC) has no insurance contracts and ALL services provided by NLOWLC ,PLLC are strictly fee-for-service. We respectfully ask that our patients acknowledge this information, refrain from requesting the BHRT Program under insurance and understand that NLOWLC ,PLLC will not file ANY insurance claims or be bound by any insurance company fee structures.
NLOWLC ,PLLC will provide a summary of services which in many cases will allow patients to file their own claims with their insurance companies, health savings accounts , flex accounts etc for reimbursement consideration. NLOWLC ,PLLC will not provide CPT codes or other standard insurance reporting information as the services provided by NLOWLC ,PLLC are not codeable using standard CPT codes. Many of the services are preventative often NOT reimbursed by typical insurance companies. NLOWLC,PLLC Bio-Identical Hormone Replacement Program is a form of complementary and alternative medicine. Many insurance companies do not recognize the services provided by NLOWLC,PLLC or consider these services experimental and not meriting insurance company reimbursement. NLOWLC,PLLC will not provide any records or communications to insurance companies. All records provided by NLOWLC,PLLC will be associated with an administrative fee. Patients are advised to read about the policies of NLOWLC,PLLC and patients will be asked to acknowledge in writing the NLOWLC,PLLC at the time of joining NLOWLC,PLLC program.

The NLOWLC ,PLLC Bio-Identical Hormone Replacement Program requires a thorough initial comprehensive medical consultation history and physical and various diagnostic tests. This comprehensive medical consultation history and physical and various diagnostic tests is provided by Alan Terlinsky MD PC.
The Fees for the comprehensive medical consultation history and physical and various diagnostic tests ( EKG, Pulmonary function , Chest x-ray , etc.) which are provided by Alan Terlinsky MD PC are dependant upon specific contractual agreements between Alan Terlinsky MD PC and any insurance company with which Alan Terlinsky MD PC is contracted. (Insurance is accepted minus deductibles and co-payments for comprehensive medical consultation history and physical and various diagnostic tests) Lab Tests which are ordered will be submitted to medical insurance for contracted services {Lab tests are submitted to insurance company by the lab performing the services } Diagnosis and symptoms that are present will be used to help gain entitled, legal medical benefits.
If a patient has no insurance or has insurance from a company or entity which Alan Terlinsky MD PC does not contract with, there is a flat rate charge of $350.00 for the comprehensive medical consultation history and physical and various diagnostic tests. Remember this $350.00 is ONLY for the comprehensive medical consultation history and physical and various diagnostic tests NOT the entire NLOWLC,PLLC Bio-Identical Hormone Replacement Program which is an additional $1250.00 dollars.
Again it is important to remember that Alan Terlinsky MD PC is a distinct business corporation which is independent of Nuliving Optimal Wellness and Longevity Center, PLLC (NLOWLC,PLLC) which is also a separate and distinct business corporation. NLOWLC,PLLC is a fee for service business which has NO insurance company contracts and obligations. All fees charged by NLOWLC,PLLC are solely determined by NLOWLC,PLLC .

The information below depicts the components and the fees for the NLOWLC,PLLC Bio-Identical Hormone Replacement Program . The information describes what the total components are of the NLOWLC,PLLC Bio-Identical Hormone Replacement Program and which entity is performing the services. This information allows patients to know what is included in the NLOWLC,PLLC Bio-Identical Hormone Replacement Program fee of $1250 . Additional charges as described above for the comprehensive medical consultation history and physical and various diagnostic tests which are provided by Alan Terlinsky MDPC are also displayed below. A similar outline also appears below to show all the services and charges for the NLOWLC,PLLC Bio-Identical Hormone Replacement Program when patients elect to use the flat fee option of $350.00 for the comprehensive medical consultation history and physical and various diagnostic tests. As mentioned above the flat fee option is available to patients who have no insurance.


Initiation of NLOWLC,PLLC Bio-Identical Hormone Replacement Program
(Fee: $1250.00)
• NLOWLC,PLLC Bio-Identical Hormone Replacement Program***
• History and Physical Wellness Assessment*
• Complete Blood Hormone Assessment **
• EKG *
• Urinalysis **
• Standard Bloodwork **
• Cardiovascular Blood Test **
• Body composition Measurement ***
• Caloric needs determination static***
• Cardiovascular Profiler (artery stiffness) *
• Fitness Recommendations***
• Nutrition Evaluation & Recommendations***
• Personalized Health Plan Notebook ***
*Service performed by Alan Terlinsky MD PC and not included in $1250.00 NLOWLC,PLLC Bio-Identical Hormone Replacement Program see above
**Service performed by outside lab and not included in $1250.00 Program fee.
*** Service performed NLOWLC,PLLC Bio-Identical Hormone Replacement and included in $1250.00 Program fee.
• For Patients who DO NOT have Health Insurance or Insurance that Alan Terlinsky MD PC accepts: The NLOWLC,PLLC Bio-Identical Hormone Replacement Program Fee is $1600 , see below.
• NLOWLC,PLLC Bio-Identical Hormone Replacement Program*
• History and Physical Wellness Assessment *
• Complete Blood Hormone Assessment**
• EKG*
• Urinalysis**
• Standard Bloodwork**
• Cardiovascular Blood Test**
• Body composition Measurement*
• Caloric needs determination static*
• Cardiovascular Profiler (artery stiffness)*
• Fitness Recommendations*
• Nutrition Evaluation & Recommendations*
• Personalized Health Plan Notebook*
*Service performed NLOWLC,PLLC Bio-Identical Hormone Replacement and included in $1600.00 Program fee.
**Service performed by outside lab and not included in $1600.00 Program fee.
NLOWLC,PLLC charges for all contacts with Dr. Terlinsky pertaining to on going program management. If patients agree to the following schedule of program followup, brief phone calls to Dr. Terlinsky and staff are not charged. In addition , Dr. Terlinsky offers an alternative arrangement of a monthly fee for 100 dollars per month. Patients electing this arrangement will be given a special secure e-mail to communicate with Dr. Terlinsky and his private cell phone number for 24/7 access to Dr.Terlinsky .


First Year
Suggested followup visits in person or by phone (for out of town patients) at 1,2, 3 , 6 and 12 months.

Second Year
Quarterly Visits

Follow-up visit short approximately 35 minutes $225
Follow-up visit intermediate approximately 45 minutes $275
Follow-up visit standard approximately 60 minutes $300
Follow-up visit extended 1 approximately 95 minutes $525
Follow-up visit extended 2 approximately 105 minutes $575
Follow-up visit extended 3 approximately 120 minutes $600

A non-refundable deposit of $200.00 is required at the time an appointment is made. The reason for this fee is to reserve the several hours of the doctor's time required for your foundation session. This deposit will be applied to your first visit.