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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.
Pre-visit
arrangements are made for up to 75 lab tests to be drawn at a commercial
laboratory. The lab
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
added.
LICHTEN WELLNESS CENTRE
555 South Old Woodward Suite #700 Birmingham, MI 48012-0843
For Appointments:
248.593.9985
Michigan Office: 248.593.9999
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Total
Executive Evaluation $3000.00
(1)
'Plus' Laboratory Testing Initial profile of 75 blood tests-
Bill insurance ►CBC, comprehensive, hormonal, thyroid,
prolactin
►Hepatitis Screen, Homocysteine, Ferritin,
Fibrinogen
►Glycogenated HgB; Glucose &
Insulin Tolerance Test
(2)
History and Physical Testing Male & Female Physical Examination ‘Plus’
►EKG with Computer Analysis included
in fee ► Pulmonary Function with Computer Analysis
► Women: Pelvic examination and PAP smear
► Men: Rectal (prostate) examination
(3)
Electron Beam Tomography
► E.B.T. Chest for lung
cancer screen
$1350.00 ► E.B.T. Heart for Calcium Scoring
billed to patient ► E.B.T. Virtual Colonoscopy, abdominal C.T.
Scan
►Arteriography of Coronary/ Carotid
Arteries 'extra'
(4)
Bio-Identical Hormone Pellets
Painless insertion and follow up
$ 750.00 ►
Men Only: 6 Testosterone Pellets -----separate billing ► Women: 2 Estradiol & 2 Testosterone
Pellets
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
tests and
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_________________
Date ___ Name______________________Date of Birth_ __ _
Address____________________________Sex:
M F
City____________________ State_____Zip___ ___
Telephone_______________E-mail:_____________ Credit Card Number _____ _____ ______ _______ ___ Expiration Date
_____________V– code ___________
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