1. Initial Consultation for Hormone Optimization Therapy (1st appointment) (60 mins):

Embark on your path to hormonal balance with a personalized approach that prioritizes your well-being and individual needs. In your initial consultation, our providers will collaborate closely with you to create a hormone therapy plan crafted specifically for you.

The initial consultation includes a complete history and review of symptoms. We discuss health optimization, including diet, exercise, and supplements. We also introduce you to bioidentical hormones (BHRT), and how they can be helpful to your current stage in life, and what to expect from your customized plan.

This visit is more than just a testosterone consultation, as our initial lab panel covers in-depth hormones, vitamins, thyroid, and other essential values to get a holistic view of how to best manage your health. We can briefly discuss additional services, such as weight management, aesthetics, and sexual wellness, if interested. You will also receive a complimentary copy of Dr. Neil Rouzier’s booklet, “Natural Hormone Replacement Therapy for Men and Women” (a $19.99 value).

$299 without labs

2. Initial Follow up for Hormone Optimization Therapy (2ND APPOINTMENT) (60 MINS):

Approximately 2 weeks after your initial labs, your provider will thoroughly discuss all your lab results, explaining what they mean for your hormone optimization. Together, we review all treatment options and identify what is the best fit for YOU, as this is not a one-size-fits-all regimen. You’ll also receive a personalized care plan with education tailored to your specific goals, including guidance on proper supplementation, medication use, and advice on exercise routines.



Lab reviews are scheduled once you’ve achieved hormone optimization, allowing us to make any minor adjustments if necessary. During these reviews, we discuss how you’re feeling, check in with your goals and needs, and tailor your care plan specifically to you. Includes discussion of all recent labs, review of symptoms, and medication/supplement renewals.

$250 without labs


May be required by your provider, depending on your lab results. Your provider will instruct you on what needs to be done next. This is done in the clinic.

$80 per draw


Hormones are administered through a small pellet inserted into your glute or hip, which is replaced every 3-6 months. Lab work is scheduled six weeks after the initial pellet insertion. Subsequent pellet insertions are then scheduled about every three to six months. Pricing and scheduling follow an annual repetition.

  • Female Pellets: $425 per placement
  • Male Pellets: $725 per placement

This does not include the cost of follow-up appointments, lab reviews, or post-pellet labs required after the initial placement.


Unlock your potential with medication designed to address the root causes of weight loss challenges. We offer several weekly injection options, complemented by personalized dietary and exercise recommendations. The consultation fee will be applied to your medication cost if prescribed. Please note that lab tests may be required based on your medical history.

Consultation: $200

Prescriptions: $750-$1000

7. Neurotoxin Treatment at Aviva

Neurotoxin treatments, such as Botox, are designed to reduce the appearance of fine lines and wrinkles, providing a smoother, more youthful complexion. At Aviva, our highly-trained providers use neurotoxin injections to target areas of concern, such as forehead lines, crow’s feet, and frown lines between the eyebrows.

The treatment works by temporarily relaxing the muscles responsible for creating wrinkles, allowing the skin to appear more relaxed and less wrinkled. This non-invasive procedure is quick and typically requires minimal downtime, making it a convenient option for those seeking to enhance their appearance without the need for surgery.

During your appointment at Aviva, our experienced professionals will assess your specific needs and goals to create a personalized treatment plan. The neurotoxin is administered through a series of small injections directly into the targeted muscles. The entire process usually takes about 10 to 15 minutes, and you can return to your daily activities immediately afterward.

Experience the benefits of neurotoxin treatments at Aviva and achieve a refreshed, youthful look with the expertise of our dedicated team.


8. Discounts for First Responders and Military Personnel

We offer discounts for active first responders and military personnel. Proof of service is required at the first appointment to qualify.

  • $100 discount on each hormone visit
  • 10% discount on memberships

9. Payment Options

We accept all major credit cards, as well as Apple and Google Pay, for your convenience.