Lavender Sky Health
Patient Guide
This guide is designed to serve as a comprehensive resource for all Lavender Sky Health patients. Within these pages, you will find the essential information, tools, and guidance necessary to support your success throughout your care journey.
Our goal is to help you achieve your personal health and weight loss goals to improve your overall health and happiness.
▼ Click any topic below to jump to that section
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Getting Started at LSH

New patient consult options

Welcome to Lavender Sky Health. Getting started is simple — choose the consult type that works best for you and complete the appropriate form to begin your care journey.

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New Patient E-Consult

What it is

An asynchronous consultation completed via secure portal messages with a licensed physician or nurse practitioner. No phone call or appointment required — ultimate convenience.

How it works

Complete the New Patient E-Consult Form. Your provider will carefully review your information and send you a consultation message through our secure patient portal. You'll receive an email notification when your message is ready, and you're welcome to reply directly to discuss your treatment plan and ask any questions.

Best for

Busy schedules No appointment needed Async communication Most convenient option
↗ New Patient E-Consult Form
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New Patient Phone Consult

What it is

A live phone call with a licensed physician or nurse practitioner to form and discuss your personalized treatment plan in real time.

How it works

Complete the New Patient Phone Consult Form to access the scheduling link. Once submitted, you will be able to book an appointment at a time that works for you (subject to scheduling availability).

Best for

Real-time conversation Prefer speaking to a provider Complex questions
📞 New Patient Phone Consult Form
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Refills & Wellness Medication Orders

When to follow up vs. when to refill

Before placing a refill, it's important to know whether a follow-up consult is required first. Please read the information below carefully to determine which form to complete.

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If a follow-up consult is needed, do not complete a Refill Request Form. Complete an Electronic Follow-Up Form instead. If you are eligible for a refill, complete the Refill Request Form below.
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When a Follow-Up Consult is Required First

First refill after starting new therapy

A follow-up consult is required before your first refill if you are starting any of the following for the first time:

  • Custom GLP-1 therapy
  • Oral weight-loss therapy
  • Hormonal therapy

Exception

If you were already on a medication before joining LSH and provided documentation, you may be eligible to refill without a follow-up unless your provider specifies otherwise.

Brand-name GLP-1 (Zepbound or Wegovy)

If you were new to GLP-1 medications when you started, you may receive one refill after your initial prescription. A follow-up consult is required after that first refill to allow your provider to assess your response.

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Refill Timing Rules

Custom GLP-1

No new order within 21 days (3 weeks) of your last GLP order. Timing is based on your confirmation email date.

Brand-Name GLP-1

May request a refill after 14 days. These are dispensed as monthly supplies.

Standard Patients

A follow-up consult must have been completed within the last 6 months.

Maintenance Therapy

A follow-up consult must have been completed within the last 12 months.

Ready to Place Your Order?

Refill Request

If you are an established patient and meet the timing requirements above, complete the Refill Request Form to place your next order.

Wellness Medications Only

If you are requesting only a wellness medication (no GLP-1 or hormonal therapy), complete the Wellness Medication Order Form instead.

🔄 Refill Request Form 💊 Wellness Medication Order Form
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Follow-Up Consults

Required every 6–9 months

Follow-up consults are required every 6 months, or every 9 months if you are on maintenance dosing. They may be completed electronically or by phone — choose the option that works best for you.

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Follow-Up E-Consult

What it is

An asynchronous follow-up completed via secure portal messages with your provider. No appointment or phone call needed.

How it works

Complete the Follow-Up E-Consult Form. A licensed provider will review your submission and send a secure consultation message to your patient portal. You will receive an email notification when your message is ready.

Best for

No appointment needed Fastest option Async communication
💬 Follow-Up E-Consult Form
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Follow-Up Phone Consult

What it is

A live phone call with your provider to review your progress, discuss your treatment plan, and address any questions in real time.

How it works

Complete the Phone Follow-Up Consult Form first to receive the scheduling link. You may reschedule your appointment up until 24 hours before it is set to occur.

Best for

Real-time conversation Complex questions Prefer speaking to a provider
⚠️
The Phone Follow-Up Consult Form must be completed before your appointment. Your provider may cancel your appointment if it has not been submitted beforehand.
📞 Phone Follow-Up Consult Form
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Labs

At-home biomarker testing

We offer convenient at-home lab kits that test critical biomarkers covering inflammation, hormones, metabolic, and cardiovascular health — all from just 8 drops of blood with results in 3–5 days.

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How It Works

1

Kit ships to your home

Clear, detailed instructions and customer support are included inside the kit.

2

Self-collect 8 drops of blood

Simple fingerstick collection — step-by-step instructions guide you through the process.

3

Mail kit back to the lab

A prepaid return label is included in your kit.

4

Results in 3–5 days

Access an advanced results dashboard with personalized recommendations based on your biomarkers.

5

Review with your provider

Results are reviewed at your next follow-up, or you may request a dedicated provider lab review at any time.

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Women's Panel

Biomarkers tested

Ferritin ApoA1 Homocysteine ApoB Hs-CRP Vitamin D LDL HbA1C HDL Insulin Total Cholesterol Triglycerides FSH Estradiol Cortisol TSH
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Men's Panel

Biomarkers tested

Ferritin ApoA1 Homocysteine ApoB Hs-CRP Vitamin D LDL HbA1C HDL Insulin Total Cholesterol Triglycerides Cortisol TSH DHEA-S Testosterone
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Women's Hormone+ Panel

Everything in the Women's Panel, plus

LH Folate Vitamin B12 Anti-Mullerian Hormone SHBG Prolactin DHEA-S
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Payments

Invoices, pre-pay, and refund policy

All medication orders require full payment before processing begins. Please review the information below to understand how payments work, how to use Pre-Pay, and our refund policy.

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Payments for medication orders are generally non-refundable as processing begins immediately upon receipt of payment. Please review our Terms & Policies for full details.
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Making a Payment

How to pay

Payments can be made two ways — via the payment button on your invoice PDF (sent to your email), or directly through the Invoices tab in the patient portal.

Important

Make sure your billing information on file is correct before submitting. Incorrect billing details will cause the payment to be rejected. You will receive a thank-you email once payment is successfully processed.

Confirmation

No medications are sent until full payment of your invoice is received, even if prepayments are on file.

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Pre-Pay

What it is

Pre-Pay allows you to submit payments toward your next order before your invoice is issued. You can submit multiple prepayments of $100 increments at any time — no open invoice is required.

Where to find it

The Pre-Pay option is located in the sidebar of your patient portal.

How to redeem

Once your invoice is issued, email your invoice number to billing and request an adjustment. Your prepayment will be applied to the balance due.

Refund policy

Prepayments are refundable up to 6 months after the date of purchase, minus a 10% non-refundable processing fee. Prepayments that have already been applied to an invoice are not eligible for a refund.

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Pre-Pay is a great way to spread out the cost of your next order ahead of time and have the balance ready when your invoice arrives.
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Order Processing

What happens after you pay

Processing of your medication order begins immediately after payment is received. Total time from payment to delivery averages 2–7 business days.

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Order Timeline

1

Payment received

Order processing begins immediately. No action is needed on your part.

2

Confirmation email within 24 hours

You will receive an order confirmation email within 24 hours. This confirms your order is in processing — LSH will have no further status updates until your tracking number posts.

3

Pharmacy processes your order

The compounding pharmacy prepares and packages your medication. Processing times are at the sole discretion of the pharmacy and average 2–7 business days total.

4

FedEx or UPS tracking email

A tracking email is sent directly from the pharmacy (FedEx or UPS) once your shipping label is created — typically 24–48 hours before delivery.

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LSH does not have access to real-time pharmacy updates. If you have not received a tracking email after 7 business days, please contact our support team.

Potential Delays

What can cause delays

Occasionally, orders may take longer than the standard 2–7 business day window. Common reasons include high pharmacy volume, holidays, severe weather, or weekend shipping freezes.

Current pharmacy times

We publish up-to-date pharmacy processing and shipping times on our website so you can check the latest estimates before reaching out.

📋 View Current Pharmacy Shipping Times
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Shipping & Delivery

Tracking, address changes, and delivery issues

All medications are shipped directly from the compounding pharmacy via FedEx or UPS. Please review the information below regarding shipping methods, delivery expectations, and what to do if you experience an issue.

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Shipping Methods

Refrigerated medications

Shipped overnight or 2-day air in insulated packaging coolers with cold packs to maintain proper temperature.

Non-refrigerated medications

Shipped via standard ground service. Items such as Ondansetron are packaged separately from refrigerated medications.

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Supplies and non-refrigerated items are often packaged separately from your main medication. Please check all packaging thoroughly before contacting us about missing items.
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Receiving Your Order

Inspect immediately

Inspect your medication immediately upon receipt. Check that all items are present, undamaged, and have been maintained at the correct temperature.

Reporting issues

Any issues with your order must be reported to the pharmacy within 24 hours of delivery. The pharmacy will require photos of everything received, including all packaging materials.

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Issues reported after 24 hours of delivery may not be eligible for a resolution. Please inspect your order as soon as it arrives.
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Address Changes

How to update your shipping address

If you need to change your shipping address, email orders@lavenderskyhealth.com as soon as possible with your updated address.

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Changing your address in the patient portal does not automatically update your shipping address. You must email us directly to ensure your order is sent to the correct location.
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Troubleshooting a Delivery Issue

If something is wrong

If you have an issue with your order and have thoroughly checked all packaging, email orders@lavenderskyhealth.com with photos of everything you received. We will direct you on next steps and advocate on your behalf with the pharmacy.

Please note

LSH is not a direct party to the shipping transaction. We cannot unilaterally provide a resolution but will work with the pharmacy on your behalf to reach the best possible outcome.

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Medication Storage & Safety

How to store and handle your medication

Proper storage of your medication is essential for maintaining its safety and effectiveness. Please read the guidelines below carefully and follow them every time.

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No medication should ever be subjected to extreme heat. If your medication is ever frozen, do not use it — contact the pharmacy directly for safety guidance before proceeding.
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GLP Medications (Semaglutide / Tirzepatide)

Primary storage

Keep refrigerated at all times for longest shelf life and maximum potency. Store upright in the refrigerator away from the freezer compartment.

Temperature tolerance

Refrigerated

Best

Ideal for long-term storage and maximum shelf life

Room temp

21 days

Safe at room temperature for up to 21 days

High temp

5 days

Safe at high temperatures for up to 5 days

Traveling with your medication

Keep medication refrigerated as much as possible when traveling. Use an insulated cooler with ice packs for transport and avoid leaving it in a hot vehicle.

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If you have concerns about temperature exposure during shipping or travel, contact the pharmacy directly for guidance before using your medication.
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Maintaining Sterility

Cleaning your vial

Clean your vial top with an alcohol wipe or isopropyl alcohol before and after each use. This is essential to maintaining the sterility of your medication and preventing contamination.

Never use if contaminated

Do not use your medication if you notice any visible particles, cloudiness, or discoloration. Contact the pharmacy immediately if you have concerns about the appearance of your medication.

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Failing to clean and store your medication properly will shorten its lifespan and may compromise its safety. Always follow sterility protocols.
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Non-Refrigerated Medications

Storage instructions

Non-refrigerated medications (such as Ondansetron) should be stored in your medicine cabinet at room temperature. Do not freeze or expose to extreme heat or humidity.

Examples

Ondansetron (anti-nausea), oral medications, and any other non-injectable items included with your order.

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Rx Summaries & Dosing

Dosing, storage, and side effects by medication

Every medication and dose available through LSH has its own dedicated Rx summary. These summaries are your go-to resource for understanding exactly how to use your medication safely and effectively.

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What's in an Rx Summary

Each summary covers

Dosing instructions How to administer Dose escalation schedule Storage guidelines Common side effects What to do if you miss a dose When to contact your provider

Important

Always refer to your specific Rx summary for your current medication and dose. Do not follow dosing instructions from a summary for a different dose or formulation than what was prescribed to you.

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If you have questions about your dosing that are not answered in your Rx summary, message your provider directly through the patient portal.
📋 View All Rx Summaries
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Important Safety Information

GLP-1 risks, side effects, and compounded medications

GLP-1 receptor agonists are powerful prescription medications that can be highly effective for weight management. Please read the following safety information carefully before beginning or continuing your therapy.

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GLP-1 medications are prescription medications that carry significant risks and side effects. They should only be used under the supervision of a licensed healthcare provider. Do not adjust your dose without consulting your provider first.
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What Are GLP-1 Receptor Agonists?

Overview

GLP-1 receptor agonists such as semaglutide (Wegovy®) and tirzepatide (Zepbound®) are prescription medications approved for chronic weight management in adults. They work by mimicking a naturally occurring hormone that regulates appetite, blood sugar, and digestion.

Common side effects

Nausea Vomiting Diarrhea Constipation Fatigue Headache Decreased appetite Injection site reactions

Serious risks

Serious but less common risks include pancreatitis, gallbladder disease, kidney problems, and a potential risk of thyroid tumors. Contact your provider immediately if you experience severe abdominal pain, persistent vomiting, or any unusual symptoms.

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Compounded vs. FDA-Approved Medications

FDA-approved medications

FDA-approved GLP-1 medications (such as Wegovy® and Zepbound®) have been evaluated and approved for safety, effectiveness, and quality. When available and appropriate, LSH generally prefers FDA-approved options.

Compounded medications

Compounded versions may be prescribed when FDA-approved products are unavailable (e.g. during a shortage), when a patient has a sensitivity to an ingredient in the commercial product, or when a specific dose not commercially available is needed. LSH evaluates appropriateness on a case-by-case basis.

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Compounded drugs have not been evaluated or approved by the FDA for safety, effectiveness, or quality. LSH only submits prescriptions to certified and licensed compounding pharmacies to minimize risk to patients.
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Read the Full Safety Guide

Our complete Important Safety Information guide covers all risks, contraindications, drug interactions, and guidance for both compounded and FDA-approved GLP-1 medications in detail.

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We strongly recommend all patients read the full safety guide before beginning any GLP-1 therapy with LSH.
🛡️ Read Full Safety Information Guide
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Self Injection Guide

Step-by-step injection instructions

Our Self Injection Guide walks you through everything you need to know to successfully administer your injection at home — including how to read your vial and understand how much medication you have remaining.

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What the Guide Covers

Topics included

Supplies you will need How to read your vial How much medication remains Choosing an injection site Preparing your injection How to self-administer What to do after injecting Rotating injection sites Safe needle disposal
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Always refer to your specific Rx Summary for your prescribed dose before injecting. The injection guide covers technique — your Rx summary covers your specific dosing instructions.
💉 View Self Injection Guide

Before You Inject — Quick Checklist

1

Confirm your dose

Review your Rx summary to confirm your current prescribed dose before drawing up your medication.

2

Clean your vial top

Wipe the top of your vial with an alcohol wipe before and after each use to maintain sterility.

3

Inspect your medication

Check for any visible particles, cloudiness, or discoloration. Do not use if the medication appears abnormal.

4

Choose and clean your injection site

Common sites include the abdomen, thigh, or upper arm. Clean the area with an alcohol wipe and let it dry completely before injecting.

5

Follow the full guide

For complete step-by-step instructions, refer to the full Self Injection Guide linked above.

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If you have any questions or concerns about administering your injection, contact your provider through the patient portal before injecting.
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Patient Support

How to reach our team

Our patient support team is here to help with any questions or concerns outside of your clinical care. Please review the information below to ensure your request reaches the right team as quickly as possible.

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How to Reach Us

Email

Send your inquiry to support@lavenderskyhealth.com. Please include your full name and a clear description of your issue so we can assist you as efficiently as possible.

Patient portal

You can also submit a support request directly through the Patient Support tab in your patient portal.

Response time

Please allow up to 24–48 hours for a response depending on message volume. We do our best to respond as quickly as possible.

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For urgent matters, include the word "URGENT" in the subject line of your email so our team can prioritize your request.

What Support Can Help With

Support handles

Payments & invoices Order status questions Shipping & delivery issues Address changes Portal access issues General account questions Pre-pay inquiries Injection supply questions
⚠️
For clinical questions about your treatment plan, dosing, or side effects, please message your provider directly through the patient portal — not the support team.
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Order-Specific Inquiries

Shipping address changes & order issues

For anything related to a specific order — including address changes, missing items, or delivery problems — email orders@lavenderskyhealth.com directly and include photos if applicable.

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Messaging Your Provider

What to send — and what not to send

You are welcome to message your provider at any time through the patient portal with questions about your treatment plan. To ensure the fastest response, please review what your provider can and cannot help with below.

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How to Message Your Provider

Where to message

Provider messages are sent and received through the secure messaging feature in your patient portal. You will receive an email notification when your provider has replied.

Response times

Providers have individual schedules and response times will vary. Please be patient — your provider will respond as soon as they are able.

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For urgent clinical concerns, include the word "URGENT" in your message so your provider can prioritize your request accordingly.
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What to Message Your Provider — and What Not To

✅ Message your provider for

💊Questions about your treatment plan or medications
📈Discussing dose changes or adjustments
🤒Side effects or clinical concerns
🧪Questions about your lab results
Any medical questions related to your care

❌ Do not message your provider for

💳Payments or invoice questions
📦Order status or shipping updates
💉Injection technique questions
🔄Refill requests — use the Refill Request Form instead
🎧General support — contact support@lavenderskyhealth.com
⚠️
Sending non-clinical requests to your provider delays their ability to focus on patient care. Please use the appropriate channels for support, orders, and billing questions.
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LSH Community Facebook Group

Connect with other LSH patients

The LSH Community Facebook Group is a private, patient-verified space to connect with others on a similar journey — share wins, ask questions, and find support from people who truly understand.

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About the Group

Who it's for

The group is open exclusively to verified LSH patients. Membership is reviewed and approved by our team to ensure a safe and supportive environment for everyone.

What you'll find

A welcoming community of patients sharing success stories, progress updates, tips, and peer support throughout their health and weight loss journeys. Participation is 100% voluntary.

Privacy

The group is private — content shared within the group is not shareable outside of it. Please respect the privacy of your fellow members at all times.

👥 Join the LSH Community Group
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Community Rules

All members must follow these rules

🚫No asking for or giving medical advice of any kind
💛Be kind, courteous, and respectful to all members
🔒Respect everyone's privacy — do not share member content outside the group
🚫No promotions, advertisements, or spam of any kind
🚫No discussion of medication pricing or sales
Keep content relevant to the LSH patient experience
⚠️
Violations of group rules may result in removal from the group or dismissal from our practice. Severe violations may result in immediate dismissal from LSH at our sole discretion.
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Mutual Respect

Our commitment to you — and yours to us

At Lavender Sky Health, we believe that the best patient outcomes are built on a foundation of mutual trust, honesty, and respect. We are committed to upholding that standard — and we ask the same of you.

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Our Commitment to You

What you can expect from us

We are committed to providing you with compassionate, evidence-based care from licensed and qualified healthcare providers. We will listen to your concerns, respect your goals, and work with you to develop a treatment plan that supports your health and happiness.

A safe space

We strive to create a safe and supportive environment for all of our patients and staff. If you ever feel that a member of our team has not met this standard, we encourage you to reach out to administration directly.

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Your Commitment to Us

Honest information

Our relationship with you requires a high degree of trust on both sides. You trust us with your healthcare — we trust you to provide true and accurate information so that we may best take care of you. Providing false or misleading information may affect the quality of your care and could have serious consequences.

Respectful conduct

We ask that all of our patients treat our staff and providers with respect and dignity at all times. Our team works hard to support you and deserves to be treated with the same care and courtesy that we extend to you.

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Any incidents of inappropriate, abusive, or disrespectful behavior toward our team may result in dismissal from our practice at the sole discretion of LSH administration.
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We strive to have a supportive partnership with you to help you maximize your health & happiness.

Thank you for choosing Lavender Sky Health. We are honored to be a part of your journey.