Concierge Medical Care Gilbert and Chandler Arizona

At Performance Health - care is convenient, comprehensive and ethical.

We don't use AI assistants or call centers. We don't even use assistants to respond to messages. This is true direct primary care - you can reach out to your provider when you need to and expect a quick response during normal hours. We emphasize shared decision making and we do not recommend things (like peptides, hormones, or other treatments) for profits. In fact - we are more likely to convince our patients NOT to do most things because there are often more evidence based options that don't make us money.

If you want alternative treatments, that is okay too! It is. risk/benefit discussion and in general we will opt for patients to be able to choose whenever possible - as long as it is not going to cause harm and as long as patients truly understand the risks.

We prioritize our members in our care model. If we have space to accommodate new patients - we will, but never at the price of reducing quality of care for our existing members. Our non-member pricing is also expensive - because we value ongoing relationships with our patients. We can help you best when we know you.

Yes.

We are a comprehensive primary care provider. All of the normal primary care things - diabetes, breast cancer screening, acid reflux, hypertension, high cholesterol etc.

PLUS alternative therapies - lifestyle, supplements, meditation, peptides, hormones, etc. Labs and imaging are often covered by insurance (unless you have medicare or medicaid) as long as they are medically necessary.

You can book online through our website - click the pink link in the website header. New patients: Please text us a 480-681-6438 as we have very limited capacity for new patients.

Yes, but for HIPAA-compliant communication, we use the Spruce App for secure messaging. If you initiate a conversation through text, email, or social media, you acknowledge that these are not HIPAA-protected and grant us permission to respond.

We do not. We wanted to, but upon seeing the rates offered - we realized it would require us to provide a sub-par level of care. If we wanted to suck like every other primary care office - we would have stayed working at one.

-We go hardest on preventative medicine - screening, lifestyle, genetic testing, risk mitigation of all kinds. That is our jam.

We treat all conditions that you would normally see a primary care provider for:

• High blood pressure

• High cholesterol

• GERD

• Asthma

• Laceration repair

• Stable and already diagnosed ADHD, depression, anxiety and bi-polar disorder

In addition to this we offer treatment more like you would see from a naturopath for:

• Hormone imbalances (testosterone, thyroid, adrenal, estrogen)

• Metabolic disorders (insulin resistance, weight management, gut health)

• Nutrient deficiencies (IV therapy for hydration, vitamins, amino acids)

• Chronic fatigue, brain fog, and stress-related disorders

• Medical Weight Loss

• Neuromodulators like Botox and Dysport

Most patients who are referred to the ER (except quick call patients) will receive a partial refund.

Because going to the ER sucks.

If you are experiencing symptoms such as fatigue, low libido, weight gain, poor sleep, mood swings, or brain fog, you may benefit from HRT. We offer customized bioidentical hormone therapy for both men and women, ensuring safe and effective treatment based on lab testing and symptom evaluation.

We are transparent, always. Below are contraindications to various types of hormone replacement to save you time and keep you safe.

Progesterone Replacement – Absolute Contraindications

• Active or history of breast cancer (especially progesterone receptor-positive)

• Undiagnosed abnormal vaginal bleeding

• Active or recent venous thromboembolism (VTE) (DVT, PE)

• Severe liver disease (e.g., cirrhosis, hepatic failure)

• Known hypersensitivity or allergy to progesterone or excipients

• Pregnancy (unless indicated for luteal phase support in fertility treatment)

Estrogen Replacement – Absolute Contraindications

• History of estrogen-dependent cancers (e.g., breast, endometrial)

• Active or history of venous thromboembolism (DVT, PE)

• History of arterial thromboembolic disease (stroke, MI)

• Uncontrolled hypertension

• Undiagnosed abnormal uterine bleeding

• Active liver disease (severe hepatic impairment)

• Known or suspected pregnancy

Testosterone Replacement – Absolute Contraindications

• Active prostate cancer or history of high-risk prostate cancer

• Active breast cancer (in men and women)

• Severe untreated obstructive sleep apnea

• Polycythemia (Hematocrit >54%)

• Severe heart failure (Class III-IV CHF)

• Uncontrolled or high-risk BPH with severe LUTS (AUA/IPSS >19)

• Uncontrolled hypertension

• Active liver disease (with abnormal LFTs or cirrhosis)

• Known hypersensitivity to testosterone formulations

Honestly there are few IV therapies that are effective for what they say they are effective for. You will see many fancy fun names like "beauty IV" and "longevity IV" and "focus IV" or "fat burner IV" - they are almost all placebo and lack long term safety data.

We prioritize patient autonomy and safety, while we do list a few select IVs and additives on our price list - we are happy to provide you with anything that is considered safe (which is most of the foo foo stuff out there). Everyone is different and maybe something really works for you.

IVs we provide include a proprietary hangover blend (based on the best data), vitamin C, glutathione, NAC, magnesium and Meyer's Cocktails.

Yes, but we take a root-cause approach to weight management. Instead of prescribing semaglutide or other GLP-1 medications as a first-line treatment, we assess metabolic health, hormone balance, nutrition, and lifestyle factors. If appropriate, we may combine medical weight loss therapies with personalized plans for sustainable results.

Current, actively licensed healthcare workers.

Current or former military (without dishonorable discharge).

Current police, fire, emergency medical teams, flight crews etc.

We strive to make everything easy for our members. Time and availability should not be a barrier to healthcare. Unfortunately, the most productive people suffer most because they don't have time to go see their primary care provider for an hour long visit (check in, wait, see provider) every three months, and neither do they have time to sit at a lab for an hour on top of that to get their blood drawn.

We get it, we are busy too. We allow asynchronous, virtual, phone call and in-office (visits via text, secure message etc.) visits for appropriate reasons according to the preference of our patient. We are available nights, weekends, and holidays - no more PTO just to be seen for a basic preventative visit and no more sitting at urgent care for 3 hours on your day off.

Coverage for lab work, imaging or other testing depends entirely on your insurance plan. We will send lab orders to your preferred in-network lab (such as LabCorp or Sonora Quest), but we cannot guarantee that your insurance will pay for any specific test. You also must make sure when you arrive to the lab that you are at your insurance's preferred lab.

This is especially important for patients undergoing hormone replacement therapy (HRT) or other integrative treatments, as many insurance plans do not cover the related lab work, even if medically necessary.

In cases where medical coverage of testing is questionable, our providers do their best to anticipate this ahead of time and will often provide two options:

- Going to a traditional lab to have labs done where you will pay the contracted rate, or you may get lucky and insurance may cover them.

- Going through a cash pay lab service where labs are generally much less expensive.

Either way, you are responsible for any charges not covered by your plan. We know health insurance sucks and we wish we could do more to make this more transparent.