Step 1 Of 3

Hello! Welcome to Aviva's online booking platform. Thank you for choosing Aviva Health and Wellness for your healthcare needs! We look forward to meeting you. Please arrive 10 minutes before your appointment. If you prefer to complete your patient forms in the office, please plan to arrive at least 20 minutes early.
Best regards,
Your Care Team

Our aesthetic treatments are designed to help you achieve a more youthful and refreshed appearance, enhancing your natural beauty and boosting your confidence.

We offer neurotoxin injections, commonly known as wrinkle relief treatments. Neurotoxins such as Botox and Dysport work by temporarily relaxing the muscles that cause wrinkles and fine lines, resulting in a smoother, more youthful-looking complexion.

During your consultation, our experienced providers will assess your unique concerns and goals to develop a personalized treatment plan tailored to your individual needs. Rediscover a more youthful version of yourself with Aesthetic Neurotoxin treatments. 

This appointment is for in-office visits only.

Please note: The listed appointment fee is only for aesthetic consultations. The cost of neurotoxin injections will be billed separately.
Continue your previously set personalized treatment plan. We offer neurotoxin injections, commonly known as wrinkle relief treatments. Neurotoxins such as Botox and Dysport work by temporarily relaxing the muscles that cause wrinkles and fine lines, resulting in a smoother, more youthful-looking complexion.

This appointment is for in-office visits only.

Please note: The listed appointment fee is only for aesthetic consultations. The cost of neurotoxin injections will be billed separately.
Unleash your potential with medications that target the root causes of weight loss challenges. We offer several weekly injection options, along with comprehensive dietary and exercise recommendations.

This appointment is for in-office visits only.

Please note: Labs may be required based on patient history. The listed appointment fee is only for scheduled consultation time. The cost of lab work and medication** will be billed separately.

**The consultation fee will be applied to the cost of medication if prescribed.
This in-office return visit is designed to assess your weight loss progress, discuss maintenance strategies, manage refills, and adjust your plan of care as needed. During this appointment, we will review your current progress, address any concerns, and make necessary adjustments to ensure you continue to achieve your weight loss goals effectively.

This appointment is for in-office visits only.

Please note: Labs may be required based on patient history. The listed appointment fee is only for scheduled consultation time. The cost of lab work and medication will be billed separately.
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.
 
First Visit: 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), how they can be helpful to your current stage in life, and what to expect from you customized plan. This visit is more than just a testosterone consultation! Our initial in-depth lab panel covers hormones, vitamins, thyroid, and other essential values to get a holistic few 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).

This appointment is for in-office visits only.
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.
 
First Visit: 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), how they can be helpful to your current stage in life, and what to expect from you customized plan. This visit is more than just a testosterone consultation! Our initial in-depth lab panel covers hormones, vitamins, thyroid, and other essential values to get a holistic few 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).

This appointment is for in-office visits only.
Second Visit: 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.

This appointment is for in-office visits only.
Second Visit: 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. 

This appointment is for in-office visits only.
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.

This appointment is for in-office visits only.
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.

This appointment is for in-office visits only.
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.

**Estradiol and/or Testosterone pellet options are available**

Please note: The listed appointment fee is only for pellet hormone implant placement. The cost of lab work review is separately billed.
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. 

**Testosterone only available**

Please note: The listed appointment fee is only for pellet hormone implant placement. The cost of lab work review is separately billed.
This may be required by your provider based on your lab results. Your provider will inform and then instruct you if this needs to be scheduled.

This appointment is for in-office visits only.
IN HOUSE LAB DRAW. 
Second Visit: 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. 

Telehealth appointments are conducted via phone or secure video chat to provide healthcare services remotely, offering both convenience and cost savings. However, these appointments require access to reliable technology and a stable internet connection.
Second Visit: 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.

Telehealth appointments are conducted via phone or secure video chat to provide healthcare services remotely, offering both convenience and cost savings. However, these appointments require access to reliable technology and a stable internet connection.
(NOT FOR FIRST OR SECOND APPOINTMENT): 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.

Telehealth appointments are conducted via phone or secure video chat to provide healthcare services remotely, offering both convenience and cost savings. However, these appointments require access to reliable technology and a stable internet connection.
(NOT FOR FIRST OR SECOND APPOINTMENT): 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.

Telehealth appointments are conducted via phone or secure video chat to provide healthcare services remotely, offering both convenience and cost savings. However, these appointments require access to reliable technology and a stable internet connection.
Unleash your potential with medications that target the root causes of weight loss challenges. We offer several weekly injection options, along with comprehensive dietary and exercise recommendations.

The consultation fee will be applied to the cost of medication if prescribed.

Telehealth appointments are conducted via phone or secure video chat to provide healthcare services remotely, offering both convenience and cost savings. However, these appointments require access to reliable technology and a stable internet connection.

Please note: Labs may be required based on patient history. The listed appointment fee is only for scheduled consultation time. The cost of lab work and medication** will be billed separately.

**The consultation fee will be applied to the cost of medication if prescribed.
This phone return visit is designed to assess your weight loss progress, discuss maintenance strategies, manage refills, and adjust your plan of care as needed. During this appointment, we will review your current progress, address any concerns, and make necessary adjustments to ensure you continue to achieve your weight loss goals effectively.

Telehealth appointments are conducted via phone or secure video chat to provide healthcare services remotely, offering both convenience and cost savings. However, these appointments require access to reliable technology and a stable internet connection.

Please note: Labs may be required based on patient history. The listed appointment fee is only for scheduled consultation time. The cost of lab work and medication will be billed separately.
The Emsella chair is a non-invasive, FDA-cleared device designed to address urinary incontinence and improve pelvic floor strength using electromagnetic technology in women and erectile dysfunction in men. It works by delivering high-intensity focused electromagnetic energy (HIFEM) to stimulate the pelvic floor muscles, mimicking the effects of thousands of Kegel or pelvic floor exercises within a 28-minute session.

This treatment is suitable for both men and women, regardless of age or activity level, including athletes and those with sedentary lifestyles. During the procedure, patients remain fully clothed while seated in the chair. Patients may feel a mild tingling sensation throughout the session.


A visit with a provider to explain the Emsella device, and gather a brief history on your personal concerns. Will assess if Emsella is a good fit for you. NO GUARANTEED USE OF EMSELLA CHAIR DURING THIS VISIT. UP FOR PROVIDER DISCRETION. 
A meeting with a provider to explain the procedure, and get a brief history and description of your concerns. Will establish your personalized plan of care, and discuss package/treatment options. NOT SCHEDULING FOR SERVICE, AND NO GUARANTEED TREATMENT AS THIS IS UP TO PROVIDER DISCRETION. 
The BTL EMSCULPT NEO is a non-invasive body contouring treatment that combines radio frequency (RF) and high-intensity focused electromagnetic (HIFEM) energy to simultaneously burn fat and build muscle. This technology delivers both RF and HIFEM energy through dual applicators, where RF heats the treatment area, while HIFEM induces muscle contractions.

Each session usually lasts around 30 minutes. A typical treatment plan includes four sessions spaced one week apart. Clinical research has shown an average fat reduction of 30% and a 25% increase in muscle thickness. The fat cells eliminated by the treatment are permanently destroyed, but weight gain can cause the remaining fat cells to enlarge. Muscle gains are temporary and typically last for six months or more.