Yes – all new prescriptions, renewals, or dosage adjustments require a scheduled consultation with a Nurse Practitioner (NP) or a Naturopathic Doctor (ND, in BC and Ontario only). These visits may occur in-clinic or virtually via secure video. If video is unavailable, a phone call may be used as a backup.

This approach ensures safe and appropriate prescribing, supports compliance with provincial regulations, and meets the requirements of our professional liability insurance. Many of the therapies we offer in our hormone health program involve complex and potent medication profiles, which require ongoing clinical oversight to adjust safely and effectively.

Patients are informed both verbally and in writing that prescription-related services are not included in base service fees and require a follow-up consultation. Occasionally, your pharmacy may fax us a request for renewal or a minor dosage adjustment. If you’ve had a recent consult, your lab work is current, and the requested change is minor and clinically appropriate, your NP may approve the request at their discretion based on your chart. Otherwise, requests to renew or modify a prescription outside of a scheduled consultation will be declined, and you’ll be asked to book a follow-up visit to ensure your treatment remains safe and aligned with your care plan.