Medical weight-management governance

Your assigned physician reviews the agreed treatment menu, licensed team, protocols, records, safety processes, and issues requiring follow-up. Collaboration or supervision for one NP/PA is included in the base fee and documented for the assigned provider. Your clinical team remains responsible for patient evaluation, treatment decisions, prescribing, and hands-on care within its authority.

We establish evaluation and ordering responsibilities, the accepted treatment protocols, monitoring and follow-up standards, documentation, consent, and escalation pathways. Where MFMD collaboration is needed, the NP/PA arrangement is documented for the actual provider and duties. Pharmacy setup can be added when the practice needs MFMD participation in account administration.

An appropriately authorized clinician must evaluate patients, make treatment decisions, prescribe, and manage follow-up. For weight management, MFMD requires at least one NP or PA on the current or planned roster. An RN alone does not qualify for this service. One APP is included in the base monthly fee; the provider must be confirmed before activation. MFMD reviews provider authority and proposed collaboration before acceptance; the governance service does not automatically supply a treating prescriber or patient visits. APRN and PA arrangements depend on their actual legal authority, including any applicable autonomous APRN registration.

FDA distinguishes approved medicines from unapproved products sold for weight loss and identifies concerns with compounded GLP-1 products. A pharmacy account, prescription, or website menu alone does not establish that a particular compounded product may lawfully be supplied. The proposed drug, formulation, source, and current restrictions must be reviewed; MFMD does not guarantee access to compounded GLP-1 products.

Wellness & Aesthetic (aesthetics and IV therapy) is $1,500/month. Medical Wellness (GLP-1 weight management, BHRT/TRT, accepted peptides, ED, and advanced testing) is $1,500/month. Both groups together are $2,500/month. One APP per facility is included across the contracted groups; each additional APP is $500/month. Core aesthetic procedures are included in the group fee. Each selected Advanced category adds $500/month per facility, counted once across devices, brands, and treatment areas. Each supervised electrologist adds $1,000/month. DPC-only primary care is $2,000/month with one NP/PA and the applicable primary-care protocol included. ED and advanced testing require scope review. One-time development is based on the foundation and protocols your facility needs, as detailed below.

The clinical foundation is included in the selected protocol package, with no separate foundation charge. It covers the agreed operational manual, clinical responsibilities and delegation, evaluation and ordering workflow, consent and digital records, infection control, medication handling, emergency response and quality follow-up. Existing suitable documents are reviewed and reused. Each selected service adds its own protocol details.

Developing this program’s facility-specific protocols is $500 one time. The clinical foundation is included, with no separate foundation charge. Existing usable protocols are reviewed and individualized; full development is charged only when needed. Adding another service later reuses the approved foundation and adds only that service’s protocol work. The proposal identifies the agreed work before you commit.

Medical Wellness programs use a qualified treating NP/PA. DPC may use a qualified primary-care physician or NP/PA; registered autonomous primary-care practice is considered within its authorized scope. For aesthetics, MFMD accepts APP participation within mixed practices whose clinical activity is primarily medical; laser hair removal alone has its own acceptance pathway. Laser hair removal combined only with Botox does not require adding Medical Wellness. The assigned physician confirms procedure-specific scope according to personnel, device, and treatment area during the facility assessment.

Initial vendor and ancillary-service setup is part of the common foundation when needed. Ongoing MFMD physician participation to open and maintain pharmacy or medical-supply accounts is an optional $500/month per facility, subject to prior MFMD approval of the sources and requested support. Facilities maintaining their own accounts do not incur this monthly fee. Medicines, supplies, testing, equipment, and third-party services are separate.

Choose your services and describe your team and existing clinical documents. MFMD confirms the agreed scope, physician involvement, and activation date after review. A HIPAA-compliant digital clinical platform with documented patient encounters and physician access must be in use before services begin. Appointment software alone and paper-only records do not meet this requirement.

The initial payment is due on the effective date of the Agreement, unless a different due date is expressly stated in the payment schedule. Recurring due dates follow the agreed schedule. Governance begins on the agreed commencement date after the required clinical readiness steps are complete. Signing, payment and clinical activation are separate milestones.