IV TGGRS Formula Expenses
__X__ History and Physical with a Medical Doctor for
Prescriptions of I.V. TGGRS Therapy or physicals for Naltrexone, Campral or Antabuse only.
__X__ Acupuncture/Massage/Sauna
/Footbath (1/2 hr or 1 hr sessions) per day.
You can expect approximately _30 _(1/2
hr units of any of the above modalities daily).
__X__ I.V. TGGRS Therapy ( $880.00 each per double dosage
)
You can expect approximately _ 10__ Treatments at $_880.00__per treatment.
(Including
6 boosters I.V’s over a 6 month period or 16 treatments total)
__X__ I.V. Maintenance Oral Formula
($85.00 per bottle or Box)__6__Bottles/Boxes purchased.
(One bottle or weekly box
per week for 6 weeks)
__X__ Neurotransmitter testing (dopamine/ gaba/ endorphines/ encephalines / serotonin/
cortisol) before and after testing treatment.
__X__ 1:1 Counseling/Case Management.
Number
of sessions is ____30 individuals_____
__X__ Relapse Prevention Group.
Friday
and Wednesday nights 6:00 pm
Number of sessions are____48 group sessions________
(For every 30 days of Sobriety, paid monitoring by patient, an additional I.V. will
be administered at no cost to the patient for a period of 6 months.)
__X__ Any additional I.V. infusions:
ADDITIONAL COSTS
$ 440.00 per two hr. TGGRS I.V formula
$
3400.00 per ½ order TGGRS treatment which is 13 (two hr.) infusions.
$ 125.00
per 1 hr. Glutathione treatment.
$ 125.00 per 1 hr. IV. Vita. C treatment.
Discount
for purchase in bulk orders of 10 Infusions
Cost of the Treatment Program ----------- $ ___15,800.00_____
Reduced
fees are not available at this program. I understand that the above is only an estimation of my treatment cost and the actual
cost may be higher or lower depending on my treatment needs as determined by my counselor, probation officer/evaluator, and/or
the requirements of the court/treatment program. No refunds of monies paid will be returned for any reason. I agree
to pay the treatment fees that apply to me. I understand that in order to receive reimbursement form my insurance company
it is my responsibility to submit the required paperwork. If the facility agrees to bill your Insurance Carrier an additional
7% of the billed amount will be collect by the patient. Treatments start on a Monday and are arranged for 10 days in a row
minus Saturday and Sunday. Please contact our front desk for an appointment at 303-782-0599
