Foundations is THICK Clinical’s baseline care membership.
Foundations Is Appropriate If You:
Prefer a low-touch care model
▼
You want access to care within a clear clinical framework, without frequent back-and-forth or high-touch guidance.
Are comfortable being self-directed
▼
You are comfortable following a plan independently and reaching out when needed, rather than requiring ongoing communication.
Generally tolerate standard therapies
▼
You typically respond well to prescribed medications without the need for frequent dose or protocol adjustments.
Do not need performance-level refinement
▼
You are not seeking help with advanced optimization, compound-specific refinement, or discussion of medications, peptides, or compounds not prescribed through the clinic.
*Membership covers clinic services and oversight. A clinical membership is required for all ongoing care and therapies at THICK Clinical (Foundations, SPM, TONED, or PCM).
Foundations INCLUDES
Clinical Messaging▼
Secure, HIPAA-compliant messaging via Spruce Health for medical questions related to your prescribed therapies and ongoing care.
Prescription Refills▼
Medication orderging, refill coordination, timing, and shipment of prescribed medications are managed by the clinic and delivered directly to your home.
Lab Scheduling & Reminders▼
Required labs are scheduled and tracked based on therapy, with reminders and coordination handled through the clinic.
Foundations DOES NOT INCLUDE
THICK Concierge▼
Ongoing, parallel performance coaching delivered through private clinical messaging.
Unlimited Physician Access▼
Physician appointments are available as needed and billed separately. Unlimited physician access is provided through Performance Concierge Medicine (PCM).
Primary Care Replacement▼
Comprehensive primary care services are provided through PCM.
Medications & Products▼
Prescribed therapies are billed separately and dispensed based on compound and dosage.
HOW CARE WORKS
This short walkthrough explains how THICK Clinical works and what to expect at each stage.
Prefer to skim? The steps below outline the same process.
STEP 1
CREATE YOUR ACCOUNT
Complete the 5-minute intake and connect with THICK Clinical in Spruce to enable secure medical communication
No charges. No commitment. No therapy starts here.
Purpose: access + secure communication
STEP 2
ORIENTATION CALL
We reach out and help schedule a phone call to walk through services, pricing structure, and next steps
Not a physician appointment. No prescriptions.
Purpose: clarity before decisions
STEP 3
LABS (NO MEMBERSHIP REQUIRED)
Upload qualifying labs from the last 6 months or order new labs
Pay as you go. Labs can be ordered repeatedly without starting a membership.
Labs establish the baseline used for physician review.
Cost: variable (labs only)
STEP 4
PHYSICIAN CONSULTATION
Telehealth visit with the physician to review labs and medical history
Together, you determine eligibility and decide appropriate next steps
Purpose: eligibility + treatment decision
STEP 5
MEMBERSHIP + THERAPY
Clinical membership begins for ongoing services and oversight (Foundations)
Therapy (medications and supplies) varies by compound and dosage
Prescribed medications are dispensed and delivered directly to your home
Labs can be ordered without membership. Membership is for physician-led oversight and therapy execution. Membership cost is fixed. Labs and therapy costs vary. There is no single "all-in" price.
Final Details
How does membership work?
When membership is required
Membership is required only when you move into active therapy
Labs and intake services may be completed without a membership
What membership provides
Ongoing clinical oversight and care coordination
Automatic medication refills and shipping coordination
Lab timing tracking and reminders required to maintain care
Membership options
Foundations – Base clinical care with structured oversight
SPM – Performance-focused care with higher-touch clinical interpretation
TONED – Aesthetic and body-composition–focused care with refinement support
PCM – Physician-led care with unlimited scheduled telehealth appointments
The appropriate membership is selected based on clinical complexity and communication needs
What membership does not include
Laboratory testing
Medications or therapies
These are billed separately based on clinical necessity
How care is maintained
The clinic monitors lab requirements and follow-up timing
You are notified when action is required to remain in care
Pricing Structure
i. Foundations Membership (Ongoing)
Foundations operates on a fixed membership of
$79, billed every 4 weeks.
Covers clinical oversight, interpretation, and care logistics
*Does not include therapy or medications
ii. Required Intake (One-time)
$149 - Lab panel (basic male panel)*
$249 - Basic female panel* * May be waived with qualifying labs dated within the past 6 months
$199 - Physician appointment (telehealth)
Total initiation cost: $348 ($199 if you have qualifying labs)
iii. Therapies and Medications (Variable)
Pricing varies by compound and dosage
Billed separately from membership
How are labs handled?
Lab access
Labs may be ordered through the clinic with or without a membership
Additional costs apply based on the panel selected
Required labs (when on therapy)
The clinic tracks lab timing required to maintain care
You are notified when follow-up labs are due
Lab payment options
Labs may be paid at the time of ordering
Labs may be added to recurring membership billing
A discount is applied when labs are bundled with membership billing
Additional labs
Additional or elective labs may be requested by the patient
Subject to physician approval; additional costs apply
Location
Labs are ordered through the clinic
Blood draws may be completed at any Quest Diagnostics location
