A comprehensive executive evaluation must include
modern E.B.T. scannings, pulmonary function, laboratory blood tests,
EKG, and a comprehensive history and physical examination by a
well-trained health professional. Lichten’s Preventative Health and
Wellness program testing may identify risk factors that are correctable
with supplements and hormonal medication.
arrangements are made for up to 75 lab tests to be drawn at a commercial
tests and interpretative results are available at your next doctor visit.
The goal is to understand the nature of your deficiencies and to become
more involved in your own medical care.
THE EXECUTIVE EVALUATION
1. Only a limited number
of patients can be scheduled on any single day with Edward Lichten, M.D.. The Executive Evaluation
can be completed in one day, but most prefer an overnight stay. The
requests for Executive Evaluation are recorded by simply calling our
toll-free number. Include your name, address, birth date, telephone, fax,
credit card information and number.
2. Our personnel will record what days and
times serve you best. Alternative dates and times will allow us
to accommodate your requests.
3. Overnight guests may stay at the 5-Star Townsend
Hotel which is one block from our office. (Rooms are reserved at a reduced
rate for our patients).
4. After completing your Executive Evaluation, a comprehensive summary report
is generated that includes your history, physical exam and testing. A copy of Textbook of
Bio-Identical Hormones by Edward Lichten, M.D. will be given to you.
5. Individuals with computers are given access to their
medical file that includes initial history, examination, testing and
laboratory results. Notes and prescription medication can be
LICHTEN WELLNESS CENTRE
555 South Old Woodward Suite #700
Birmingham, MI 48012-0843
Michigan Office: 248.593.9999
Executive Evaluation $3000.00
'Plus' Laboratory Testing
Initial profile of 75 blood tests-
►CBC, comprehensive, hormonal, thyroid,
►Hepatitis Screen, Homocysteine, Ferritin,
►Glycogenated HgB; Glucose &
Insulin Tolerance Test
History and Physical Testing
Male & Female Physical Examination ‘Plus’
►EKG with Computer Analysis included
► Pulmonary Function with Computer Analysis
► Women: Pelvic examination and PAP smear
► Men: Rectal (prostate) examination
Electron Beam Tomography
► E.B.T. Chest for lung
► E.B.T. Heart for Calcium Scoring
billed to patient
► E.B.T. Virtual Colonoscopy, abdominal C.T.
►Arteriography of Coronary/ Carotid
Bio-Identical Hormone Pellets
Painless insertion and follow up
Men Only: 6 Testosterone Pellets -----separate billing
► Women: 2 Estradiol & 2 Testosterone
Terms and Conditions
Edward M. Lichten, M.D. is a consulting physician.
These services establish a bi-annual physician–patient relationship. Other
services, including follow-up visits, consultation, prescriptions, lab
further testing are the responsibility of the patient. No billing is
made to Medicare, Medicaid or private health insurance. Patients must
seek a local licensed health professional for follow up care.
[ ] TERMS and CONDITIONS: I agree to pay for services
circled above. 50% cancellation fee applies.
Make checks payable to:
EM Lichten MD PC
Signature of Requestor_________________
Name______________________Date of Birth_ __ _
City____________________ State_____Zip___ ___
Credit Card Number _____ _____ ______ _______ ___
_____________V– code ___________