Your consultation is a comprehensive, discovery-based medical visit with Kim Padilla, APRN, to explore whether our programs are the right fit for you.
During this appointment, we take a deep dive into:

• Your medical history and current symptoms
• Lifestyle factors: sleep, nutrition, stress, and activity
• Your personal goals—whether you're focused on weight loss, hormone balance, fatigue, thyroid optimization, or menopausal symptoms
• Review any labs that you provided (please bring in a paper copy so I can scan them into my records)
• Labs can be drawn in the clinic before your appointment, same day (in some cases), or scheduled at a different time. 
• Patients may choose to:

  • Have labs drawn through High Desert Vitality, or
  • Receive a laboratory order to use with their own insurance provider.

  Please note that High Desert Vitality cannot guarantee insurance coverage for any laboratory testing. Patients are solely responsible for any charges, deductibles, copays, coinsurance, or non-covered services billed by their insurance company or laboratory.

  ---

  
  

• Women's Health appointment: please bring a copy of your most recent Pap and Mammogram. 

We’ll use this time to determine whether our membership programs and treatment options align with your needs, expectations, and level of commitment.

This visit is your opportunity to find out—without pressure. If you’re ready to feel better and want clear answers, medical support, and a personalized plan, this is your first step.

Designed for patients who want a streamlined, consistent approach without managing outside prescriptions.
This program includes all necessary hormones provided directly through the clinic, including testosterone, estrogen, and progesterone when indicated.
Care is managed with ongoing provider oversight, regular follow-up, and integrated laboratory monitoring to ensure safety and effectiveness.
Patients have direct and timely access to their provider for adjustments, questions, and clinical guidance.
This option provides the highest level of consistency and the most efficient path to optimal results.

• 30-minute office visits with the provider every 3 months or as needed.
• Follow-up labs at 3 and 6 months are included in the membership.
• All medications are included.

B12 injection package of 10 shots Pre paid 

Phentermine for Weight Loss 
Phentermine is a prescription appetite suppressant that helps reduce hunger and support weight loss when combined with healthy lifestyle changes. A 30-day supply is sent to your local pharmacy and is ussually covered by insurance.

 
Contrave  (Naltrexone/bupropion ) for Weight Loss 
Contrave is an FDA-approved weight loss medication that works on brain pathways to help control cravings and reduce appetite. Patients receive a 30-day supply sent to the pharmacy. This is not covered by insurance and is an additional $200/month.

$180 per month
Designed for patients who prefer to obtain certain medications through their insurance or local pharmacy.
This program includes medical management, follow-up visits, and laboratory monitoring. Testosterone therapy is provided through an FDA-approved compounding pharmacy, while estrogen and progesterone are filled at your local pharmacy with the use of insurance.
This option requires coordination with an outside pharmacy and may involve variability in medication supply and dosing.

Thyroid Optimization Initial Consultation
$150

Your initial consultation includes:

• Comprehensive review of symptoms, health history, and current medications
• Evaluation of previous thyroid testing (if available)
• Personalized treatment recommendations
• Ordering of comprehensive thyroid laboratory testing when indicated

Important: Initial laboratory testing is not included in the consultation fee. Comprehensive thyroid lab panels typically range from $225-$450 when drawn through our clinic.

Patients may choose to:
• Have labs drawn through High Desert Vitality and pay the laboratory fee directly, or
• Receive a laboratory order to use with their own insurance provider.

Please note that High Desert Vitality cannot guarantee insurance coverage for any laboratory testing. Patients are solely responsible for any charges, deductibles, copays, coinsurance, or non-covered services billed by their insurance company or laboratory.

Thyroid Optimization Membership
$225/month

Membership Includes:

• All prescribed thyroid medications provided through the program
• Follow-up laboratory testing as medically indicated
• Up to two office visits per month
• Ongoing provider support and treatment adjustments
• Personalized monitoring to optimize thyroid health and symptom improvement

Our goal is to provide comprehensive thyroid management with predictable monthly costs and close clinical oversight to help you feel your best.

Membership fees are billed monthly and continue until canceled. Additional services outside the scope of the membership may incur separate charges.