Clinic Visit Requirements
Weight Management
Restrictions
Patients are ineligible for a controlled-substance appetite suppressant prescription and are subject to forfeiture of deposits for the following reasons:
-
Uncontrolled hypertension
-
Active case of glaucoma
-
Heart disease or dysfunction
-
BMI below 24**
-
Active prescription for ADD, ADHD, Narcolepsy, Wakefulness, or Another Appetite Suppressant Rx
-
Unqualified State of Residency (e-visits)*
-
Clinician determines such prescriptions are unsafe for unlisted medical reasons
-
Patient has multiple prescribers for appetite suppressants
-
Failure to appear for appointment or notify staff of inability to appear 24 or more hours prior to scheduled appointment (e-visits)
-
Failure to appear for eVisit appointment WITH required equipment (i.e. working blood pressure cuff, tape-measure, working scale, ID, payment)
Semaglutide / Tirzepatide Precautions
-
Age 65 or older. Studies have not been done in this age group. Discuss with one of our clinicians to determine is Semaglutide is an appropriate option.
-
Semaglutide can lower your blood glucose (can cause hypoglycemia). Discuss with one of our clinicians to determine is Semaglutide is an appropriate option.
Telemedicine(eVisit) Requirements
Telemedicine, also known as telehealth, allows us to meet with you virtually to assess your needs and, if appropriate, write prescriptions.
E-Visit Requirements
You must have the following available to you during your e-visit.
-
Digital weight scale*
-
Digital blood-pressure cuff (wrist cuff is permissible)*
-
Measuring tape for hip and waist measurements
-
Video-enabled device
-
Photo identification (valid government-issued ID)
PLEASE NOTE
Urgent Care and Men’s Health eVisits do not require a weight scale or a blood pressure cuff.
Semaglutide / Tirzepatide Restrictions
-
Age under 18
-
Pregnant or unsure if pregnant; breastfeeding
-
Renal insufficiency (Kidney dysfunction); Kidney stones are NOT a contraindication
-
Current substance abuse (prescription medications or illicit drugs)
-
Active eating disorder (anorexia or bulimia)
-
Current active cancer of any kind
-
Bariatric surgery within the past 18 months
-
Gallbladder dysfunction or active symptomatic gallstones
-
Pancreatitis within the past 6 months
-
Partial thyroid removal; complete thyroid removal is NOT a contraindication unless gland was removed secondary to thyroid cancer
-
History of multiple endocrine neoplasia syndrome (MEN syndrome), medullary thyroid cancer (MTC), or any type of thyroid C-cell tumor.
PLEASE NOTE
-
All patients will be subject to a (PMP) Prescription Management Program Check as required by state-law.
-
Our weight loss services are available to patients with a body mass index (BMI) of 30 kg/m² or greater, as well as those with a BMI between 24 and 29.9 kg/m² who present with two or more co-morbid conditions.
-
REQUESTS FOR NARCOTIC MEDICATION(S) WILL NOT BE ENTERTAINED.
Contact Us
Express Health Systems accepts walk-ins at our Tyler and Plano, Texas, clinics. You can also schedule a virtual appointment through our online platform to start your wellness journey from the comfort of your own home.
To get started, visit us at either location Monday through Saturday from 8 A.M. to 5 P.M., no appointment necessary.
Telemedicine visits are available by appointment only Monday through Saturday from 8 A.M. to 10 P.M.