Eligibility for use of prescription weight loss medications:
Not everyone needs prescription weight loss medications to be successful and not everyone will qualify for these medications. Patients who feel that they need appetite control and who meet the eligibility requirements will be offered prescription weight loss medications. Criteria to be eligible for prescription medications include:
New patients are seen by APPOINTMENT ONLY. Patients under the age of 18 must have a release signed by a parent or legal guardian stating Dr. Crouch has permission to provide treatment for weight control. Every patient may not meet the requirements needed to qualify to take appetite suppressant medications. Patients with Chest Pain, Heart Disease, Stroke, Uncontrolled High Blood Pressure and certain types of Glaucoma may not be eligible to take appetite suppressants. Please notify us prior to your appointment if you have any of these medical problems.
Deposit to Hold Appointment and No Show Policy: A $75 deposit is required to hold your new patient appointment. This deposit is non-refundable and will be applied to the cost of your first visit. Should you need to change your appointment date or time, please notify us at least 2 business days prior to your scheduled appointment. This will allow another new patient to come in your place. We will be happy to work with you to reschedule your visit because we are excited about helping you lose weight.
Please download and complete the Patient Medical History and Review of Systems form and bring to your first visit. The doctor or physician assistant will review your medical history with you on your visit. This can be downloaded from our "Forms" link
Plan to arrive at our office approximately 15 minutes prior to your scheduled appointment time. This will allow us time for chart preparation, laboratory work, etc... and permit you to complete the program on time. Please make arrangements to stay for the entire length of the program which may be from 1 to 2 hours. We will be unable to prescribe medication to patients not completing the program.
It is important to minimize distractions in order for you to get the most out of your visit. Because of this we ask that you please do not bring small children on the first visit. Remember that your success is also our success.
You must be FASTING for 8 to 12 hours for the blood work. This means nothing to eat or drink (except water) after midnight the night before your morning appointment. If you have an afternoon appointment, you can eat a light breakfast before 7 am and then fast until we draw your blood. If you have high blood pressure, it is okay to take your blood pressure medication though most other medications should be held until after your blood is obtained. If your blood pressure is too high on your visit, we may not be able to prescribe appetite suppressants until we document that your blood pressure is controlled. If you have a question about taking a particular medication call us. You are welcome to bring a snack to eat after your blood has been drawn.
We will discuss your lab work on your second visit. Should there be a significantly high or low result, we will mail you a letter asking you to contact us concerning your lab. If the number is critically high or low, we will attempt to contact you by phone.
There are two options for lab work on the first visit, the Crouch Clinic Superchem or the Executive Profile (superchem plus). The prices include everything for the first visit except the medication. The first visit includes a medical history, physical examination, lab work, a vitamin B12 injection and an orientation lecture where we will discuss nutrition, exercise, lifestyle changes, medications, motivation and answer any questions you may have. The lab work consists of a comprehensive set of tests including: thyroid function, blood sugar for diabetes, cardiac risk profile, liver and kidney function, bone profile, electrolytes, iron and other anemia tests, etc.
OPTION 1: New Patient Visit with Superchem $145.00
Superchem: The Crouch Clinic Superchem is our routine comprehensive set of lab tests which includes: CBC for infection and anemia, TSH, Free T3 and Free T4 for thyroid function, blood sugar for diabetes, cardiac risk profile, liver and kidney function, bone profile, electrolytes, magnesium, and iron. The Superchem is included in the Option 1 price for the New Patient Visit above.
OPTION 2: New Patient Visit with Superchem Plus $270.00
Superchem Plus: Patients have the option to upgrade their lab work to the Superchem Plus. The Crouch Clinic Executive Profile includes all of the tests included in the Superchem plus Vitamin D, A1C and Fasting Insulin. The Superchem Plus is included in the Option 2 price for the New Patient Visit above. **See more detailed information about the Superchem Plus at the bottom of this page.
Vitamin B12 Injection: Dr. Crouch recommends the Vitamin B 12 injection on each visit. Patient's report more energy and better success at weight control with the Vitamin B12 injections. This is included in the price for your New Patient Visit. The cost of the Vitamin B12 Injection is $12.00 if included with an office visit and $15.00 if not included with a visit.
Medication Cost: The medication is specially compounded by City Drug for the Crouch Clinic. The medication cost at CITY DRUG is $35.00 to $60.00 depending on the medication prescribed. The pharmacy requires photo identification like a DRIVER'S LICENSE.
Routine Monthly Follow Up Visits: We will see you back at monthly intervals. You will be given a prescription for 30 days of medication. You will be seen by a qualified physician or physician assistant at each visit. Routine Monthly follow up visits are $48.
Bimonthly Program: After being on the program for 2 full months, patients who are doing well on the program and medication and are stable medically may qualify to enroll in our bimonthly program. These patients will be seen back in the clinic every 60 days. Patients in the bimonthly program will be prescribed a 30 day supply of medication with one refill that City Drug can mail to the patient. Bimonthly visits are $90.
Telephone Consult: After being on the program for 2 full months, patients who are doing well on the program and medication and are medically stable may qualify for telephone consults. Each month these patients will call the clinic with their current blood pressure and weight and will have a telephone consult with the provider. The provider will call a medication refill to City Drug who can mail the refill to the patient. Patients are allowed 3 telephone consults in a row and then will need to be evaluated in the clinic for the next monthly prescription. The purpose of the telephone consults is to allow patients who are unable to return to the clinic monthly due to living a long distance away, work/school schedule, or limited finances to space their clinic visits by up to every 90 days. This saves patient from having to take a day off work to travel to the clinic. Telephone consults are $50.00.
Other Visits: Patients who have not been seen in the clinic for 3 months or longer may require a more expanded visit and the office visit price will be adjusted accordingly. Patients who have not visited the clinic within two years will be considered New Patients as far as scheduling and fees are concerned.
**Superchem Plus Detailed Information: The Superchem Plus includes the all of the tests in the Crouch Clinic Superchem plus the additional tests listed below.
Vitamin D level: Vitamin D researchers claim that we are having an epidemic of Vitamin D deficiency in the United States. This is especially true in the winter months. Vitamin D Deficiency is linked to osteoporosis, depression, weight gain, chronic fatigue, chronic pain, and certain cancers. Vitamin D levels of 60-80 are recommended. The Vitamin D Counsel has issued the following statement: We propose Vitamin D Deficiency Syndrome (VDDS) exists when 25(OH)D levels of less than 50 ng/mL are found in patients with two or more of the following conditions: osteoporosis, heart disease, hypertension, autoimmune diseases, certain cancers, depression, chronic fatigue, or chronic pain. $70.00 if done individually.
Fasting Insulin: Insulin is released to decrease blood sugar levels. Elevated fasting insulin is the hallmark of insulin resistance or metabolic syndrome which leads to type 2 diabetes. Researchers claim that by the time the blood sugar rises high enough to actually diagnose diabetes; the pancreas has lost up to 80% of the beta cells that produce insulin. When most people finally are diagnosed with diabetes, they only have 20% of the capacity to produce insulin. Fasting insulin can identify those people at the highest risk for developing diabetes so they can be treated before they lose the ability to produce insulin. Fasting insulin levels of less than 8 are recommended but the lower the better. $70.00 if done individually.
Free T3: This more sensitive thyroid test is useful for people with a normal TSH but still have symptoms of underactive thyroid. The Free T3 is the active form of the thyroid hormone. A patient with a Free T3 on the low side of normal and who has symptoms of hypothyroidism may benefit from thyroid supplementation even if the TSH is normal. The Free T3 helps identify those people who are having thyroid problems in spite of a normal TSH. $30.00 if done individually.
A1C: This test takes an average of all of your blood sugars over a 3 month period. A fasting blood sugar test only tells what you blood sugar is at the time your blood was drawn. This test gives a better indication of where your blood sugars are over a period of time. The A1C can detect diabetes or pre-diabetes easier than a single blood sugar test. This test is $25.00 if done individually.