TRT — Discovery Call Form

Testosterone Therapy

Physician-Led TRT with Dr. Cruz
A Service of My Wellness Physicians

Discovery Call Form

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Call Details

1

Greeting & Confirm Time

You: Good afternoon, this is [Keith] with My Wellness Physicians. May I speak with [name]? … I'm calling you back about the testosterone therapy inquiry you sent us. Is this still a good time to talk for a few minutes?
2

How They Found Us & What's Going On

You: First, how did you hear about us? And tell me — what's been going on that made you reach out about testosterone therapy?
3

Quick Screening

You: If you don't mind a few quick questions — these help Dr. Cruz prepare so you get the most out of your visit. Have you had testosterone checked before, and are you on any treatment now?
Personal hx prostate or breast cancer?
Hx blood clot / DVT / PE / stroke / heart attack?
Currently trying to conceive / wants children?
4

Explain the Program

You: Let me walk you through what working with Dr. Cruz on testosterone actually looks like — because it's very different from an online TRT mill.
Before the visit
  • We send an intake packet to complete ahead of time so Dr. Cruz can review your history before you arrive.
  • Bring any recent bloodwork or testosterone panels from a past provider — even a summary helps.
The consultation with Dr. Cruz
  • A full hour — detailed history, symptom review, and a real conversation about your goals, risk factors, and fertility plans.
  • Double board-certified in Family Medicine and Obesity Medicine, 20+ years of experience.
  • We're at the Village at Leesburg, near Wegmans and right next to AT&T — My Wellness Physicians.
The whole-person approach
  • Baseline labs — total and free testosterone, SHBG, LH/FSH, estradiol, PSA, CBC/hematocrit, thyroid, and metabolic markers as indicated.
  • We look at the full picture — not just a testosterone number in isolation.
  • Testosterone dosed and delivered the way that fits you — injection, cream, or pellet — when clinically appropriate.
  • Fertility-preserving options (like enclomiphene or hCG) discussed when having children is a priority.
  • Referrals when they help — urology, sleep studies, or other specialists as needed.
Care between visits
  • Follow-up labs and dose adjustments on a schedule, including hematocrit and PSA monitoring, plus support if a side effect or question comes up mid-cycle.
  • Telemedicine follow-ups available for Virginia residents when clinically appropriate.
5

Explain the Model & Fee

You: The first step is a TRT Initial Consultation with Dr. Cruz, which includes comprehensive labs. From there, if TRT is a fit, you'd move to our ongoing quarterly program.
TRT Initial Consultation — comprehensive labs included · men and women — $600 one-time
TRT Ongoing — consultation, labs & medication included · billed every 3 months — $550 / quarter
Prices are cash-pay and subject to change — confirm with Dr. Cruz before quoting.
How payment works
  • We're a concierge, out-of-network practice and don't bill insurance directly.
  • We provide a Superbill you can submit for possible out-of-network reimbursement — varies by plan.
  • We accept HSA, FSA, and CareCredit financing.
What to bring
  • Any bloodwork or testosterone panels from within the past year.
  • A list of current medications and supplements.
  • Notes on what you've tried before and how it went.
Objection responses (tap to expand)
"Does my insurance cover this?"
We're concierge and out-of-network — that's what lets Dr. Cruz order the right labs and spend a full hour with you. After your visit we give you a detailed superbill to submit for possible out-of-network reimbursement (varies by plan), and we accept HSA, FSA, and CareCredit.
"It sounds expensive."
I'll be transparent — the first step is a TRT Initial Consultation with comprehensive labs, which is $600. That covers Dr. Cruz's full evaluation and your baseline labs. If TRT is a good fit, ongoing care is $550 a quarter, and that includes your follow-up visits, labs, and medication — not just the office visit. CareCredit is available if you'd like to spread out payment.
"I'm already on testosterone — why see Dr. Cruz?"
That's exactly who benefits most. Doses that were never adjusted, hematocrit or PSA that were never checked, symptoms that never fully resolved — that's common with online-only TRT clinics. Dr. Cruz looks at the whole picture and makes sure your regimen is actually right for your labs and your risk factors, not just a standard starting dose.
"Will this affect my fertility / shrink my testicles?"
That's an important question, and exactly the kind of thing Dr. Cruz addresses in your consult. Testosterone alone can suppress natural production and fertility for some men — if having children is a priority, there are protocol options that can help preserve that. She'll tailor the plan around your goals.
"Is this just testosterone like everyone else?"
The medication is part of it — but the difference is who's behind it. You work directly with Dr. Cruz, double board-certified, 20+ years' experience. Real labs, real monitoring of hematocrit and PSA over time, a plan built around your body and your goals — not a one-size-fits-all script.
6

Outcome & Next Steps

You: Whenever you're ready, I can get you on Dr. Cruz's calendar, or you can book on our website. Kenneth, our patient care coordinator, will text you the intake packet and be your direct line.

📋 CRM Note (auto-generated)

Paste into the TRT pipeline in SymplastCRM. · Pricing subject to change — confirm with Dr. Cruz before quoting.
Call reminders
  • Let the patient talk; listen before scripting.
  • Low-T symptoms are medical, not just "part of aging" — validate, don't minimize.
  • Be transparent about pricing, without apology. Pricing is subject to change — confirm with Dr. Cruz before quoting.
  • Don't diagnose, dose, or promise results — that's Dr. Cruz's role.
  • Flag safety items (prostate/breast cancer hx, clotting/cardiac hx, elevated hematocrit or PSA, untreated sleep apnea, CHF) but don't counsel on them.
  • Always ask about fertility plans — it changes the protocol conversation Dr. Cruz will have.
  • Don't promise specific reimbursement amounts.
Testosterone Therapy — Physician-Led Care · A Service of My Wellness Physicians · mywellnessphysicians.com · 703-777-9355