SPORTS PERFORMANCE MEDICINE
by THICK Clinical

SPM Membership is THICK Clinical’s performance-focused care membership for high-intent athletes and physique-driven clients who want physician-led treatment plus THICK Concierge - a parallel performance coaching layer that actively guides decisions between visits, adding coaching-level thinking to their medical care.

SPM Membership Is Appropriate If You:: You want performance-level refinement ▼

You want help with advanced optimization, compound-specific refinement, and discussion of how medications, peptides, or other compounds interact within your overall plan.; You train for results ▼

Performance and aesthetics matter. Protocols are customized and refined based on real response, not generic programming.; Body composition matters ▼

You care deeply about body composition, appearance, and how medications affect how you look and feel.; You prefer frequent clinical messaging ▼

Between visits, labs, symptoms, and responses are discussed and interpreted to support informed decisions.; You play the long game ▼

You want long-term, real-world sustainability with ongoing clinical guidance rather than short-term or static protocols

*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).

SPM Membership INCLUDES

THICK Concierge ▼

Ongoing, parallel performance coaching delivered through private clinical messaging.
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.

SPM Membership DOES NOT INCLUDE

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, not SPM.
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 (SPM Membership)
Therapy (medications and supplies) varies by compound and dosage
Prescribed medications are dispensed and delivered directly to your home

Cost: fixed (membership) + variable (therapy) | Membership & Medications = Services & Substances | 90-day cancellation policy on all therapy packages

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.

THICK Concierge

THICK Concierge is a performance coaching and health-guidance layer that runs alongside physician-managed care, delivered through a private, secure messaging portal to help patients get the most out of their therapies between visits.

Used for

Lab interpretation & trends ▼
- Interpreting labs in real-world context
- Understanding longer-term trends over time
- Connecting lab changes to training, stress, or lifestyle factors
Training, recovery & lifestyle variables ▼
- Training load, recovery, and fatigue
- Sleep, stress, nutrition, and lifestyle tradeoffs
- How real-world variables affect response to therapy
Non-clinic compounds (context & risk framing) ▼
- Mechanism-level discussion of supplements and peptides
- Risk framing and interaction considerations
- Understanding overlap with clinic-managed therapies
Prioritization & decision support ▼
- Prioritizing changes when multiple interventions overlap
- Reducing blind spots between visits
- Improving decision quality as conditions change

Not used for

Medical messaging or urgent issues
Replacing physician appointments
Prescriptions, lab orders, or treatment changes ▼
- Handled through physician visits and formal clinical workflows
- Not performed through Concierge messaging
Sourcing, dosing, or use of non-prescribed compounds ▼
- No instruction on sourcing, dosing, or administration
- Discussion limited to context, risk, and interaction awareness

THICK Concierge runs in parallel with physician-led care. All medical decisions, prescriptions, lab orders, and therapy changes remain physician-directed and are handled through the clinic’s medical system.

Final Details

How does membership work?

Membership covers the services and oversight provided by the clinic.

Medications, therapies, and laboratory testing are billed separately based on clinical need.

When membership is required: Membership is required once you move into ongoing clinical care or active therapy; Intake visits, consultations, and laboratory testing may be completed without a membership
What membership covers: Clinical services, medical oversight, and care coordination; Secure clinical messaging and administrative support; Refill coordination, lab tracking, and required follow-ups to maintain care
Membership options: Foundations – Structured clinical oversight for hormone and metabolic care; SPM – Performance-focused care with higher-touch clinical interpretation and concierge support; TONED – Aesthetic and body-composition–focused care with refinement and optimization support; PCM – Physician-led primary 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, therapies, or compounded products; These are billed separately based on clinical necessity and dosing
How care is maintained: The clinic monitors required labs, follow-ups, and eligibility for continued care; You are notified when action is required to remain compliant and active

Pricing Structure

i. SPM Membership (Ongoing): SPM Membership operates on a fixed cost of $319, billed every 4 weeks.; Covers THICK Concierge, 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; Quest Location & Appointment finder: questdiagnostics.com

How are refills handled?

Refills and shipping are automatically coordinated through the clinic as part of ongoing care.

SPORTS PERFORMANCE MEDICINE by THICK Clinical