Address: 105 North Washington Street, Papillion, Nebraska 68046, United States

Pricing & Getting Started

Functional Health Fatigue, Thyroid, & Hormone Optimization

What is functional health? Emphasis is on identifying and addressing the root cause of symptoms by taking a whole-person approach. A Functional Health approach aims to understand the underlying factors contributing to a person and often involves a combination of medical approach and alternative therapies.

Why Choose Top Form for Functional Health?

At Top Form, we believe in a whole-body approach to healthcare. Our team is committed to identifying the root causes of your health concerns and providing evidence-based, integrative solutions to help you achieve lasting wellness. We recognize that no two individuals are the same, and we tailor our treatment plans accordingly to meet your unique needs and goals.

Get Started Today

Don’t settle for simply managing your symptoms—take the next step toward optimal health. Contact us today to learn more about how functional health at Top Form can help you achieve your wellness goals.

Important information to know

$50 Deposit Required: A $50 consultation deposit is required to book your appointment. This will be credited toward your consultation fee.
Insurance: We DO NOT accept insurance for consultations or memberships. Some labs and medications may be covered by insurance, but we are not responsible for any costs incurred. Insurance typically does not cover bioidentical hormone replacement therapy (BHRT), as these treatments come from a compounding pharmacy. However, oral progesterone and certain patches or inserts are often covered by insurance. If you have any questions about coverage, please discuss with your provider during your consultation. HSA/FSA Eligible: Many services, including consultations, labs, and compounded medications, are eligible
for HSA/FSA payments.

Our process

Initial consultation:

New patients: $250 one-time fee

Includes a comprehensive evaluation of health history, symptoms, and a full functional health
workup to ensure a holistic approach. This also includes a detailed lab review appointment to
develop a personalized optimization plan of care.

– Existing membership patient’s will receive a $50 discount on consultation

Your Continuous plan:

This is billed following your Lab Follow-Up Consultation.

Standard Level

$125/month
This membership is designed for patients who prefer to have their labs done at an outside facility (e.g., outpatient lab)
*Please note: Labs are either self-pay or billed through your insurance. No lab discounts are available with this membership level.

Premium Level

$150/month

Elite Level

$250/month
*Everything in the premium level with advanced discounts.

If you are a current LoseIt/LostIt patient and want to add any of these programs, your membership fee will be adjusted accordingly to your chosen level. You will still retain all LoseIT and LostIT benefits (app, Facebook group, etc.).
After the Initial Consultation and Lab Follow-Up (Second Consultation), patients will have 30 days to select a Continuous Membership Plan. Billing for the chosen plan will begin on the date of selection.

📌 Please note that the above pricing does NOT cover the cost of any medications or supplements.

Discounts on your continuous plan:

Bioidentical Hormone Replacement Therapy (BHRT) Pellets

We proudly offer BHRT Pellet Therapy as one of our advanced wellness solutions. We prioritize safety and effectiveness by requiring a consultation with our provider and comprehensive lab testing to determine if pellet therapy is the right option for you.
*Please inquire directly for more information and pricing. All patients must complete an initial consultation and lab work prior to treatment.*

Lab Services

All follow up testing INCLUDED in your premium or elite plan!
Lab Panels Pricing
Lab Panels In-office Price
Initial/Annual Functional Health Testing Yes Varies: $175 - $400+ determined at consult.
Hormone Testing Yes $175.00
Thyroid Testing Yes $145.00
Iron Testing Yes $85.00

Additional Details to know

Contact Details

We are:

Top Form

Phone

Meet your Functional Health Provider

Amberly Wagner-Connolly, APRN

The Rest Of The team