Cancellation, No-Show & Membership Policy

Axiom Performance Medicine, PLLC · Business address (no in-person visits): 1700 7th Ave, Ste 2100, Seattle, WA 98101 · 206-880-0522 · info@axiomperformancemedicine.com · Phone and telehealth hours: 9 AM–8 PM PT, 7 days a week · Not for emergencies. Call 911.
Telehealth care by secure video for adults located in Washington State.

Need to cancel or reschedule? Please give us at least 24 hours' notice. You can cancel in your patient portal, email info@axiomperformancemedicine.com, or call 206-880-0522 and leave a voicemail. We use the time your message arrives.

Late cancellations and missed visits. After your first visit, if you cancel a visit with less than 24 hours' notice or miss one, we may charge a $40 fee. Rescheduling with less than 24 hours' notice counts as a late cancellation. Your first visit has its own rule, under "Initial labs and $99 first-visit deposit" below. We waive your first late-cancellation or missed-visit fee every 12 months. We'll email you before any fee is charged so you can ask us to waive it.

Running late? We'll wait 15 minutes. After that, we may shorten your visit or reschedule it. A rescheduled visit counts as a late cancellation.

We waive fees for illness or a medical emergency (yours or a family member's), bereavement, hazardous weather, tech or platform outages, and financial hardship. You don't need to share medical details. We never charge a fee if we cancel or run late.

Memberships. You can cancel in your patient portal, by emailing info@axiomperformancemedicine.com, or by calling 206-880-0522 and leaving a voicemail. Portal cancellations take effect right away: your membership won't renew, and you keep access through the end of the month you've already paid for. Email and voicemail requests are processed within 1 to 2 days, and your cancellation counts from the day we receive your request. If a renewal charge goes through in the meantime, we'll refund it. We'll confirm by email, and you won't be charged again. If you cancel within 14 days of a renewal charge and haven't used any visit or service that month, we'll refund the unused days. This refund doesn't apply if you have an active prescription from your Axiom clinician.

Included labs. A lab that has already been drawn counts as a service used that month. We never charge for an included follow-up lab that wasn't drawn. Your initial labs are covered under "Initial labs and $99 first-visit deposit" below. If you cancel, future included labs end with your membership.

Initial labs and $99 first-visit deposit. To start, you pay for your initial labs (at our cost, with no markup) and a $99 non-refundable deposit toward your first visit with Timothy Shawn Dannels, ARNP, FNP-BC, together in one payment. If we've already accepted your recent outside lab results, you won't need to buy our lab panel, and we'll send you a link to pay the $99 deposit on its own. The same deposit rules apply. Your first visit is a video consult with him, including a review of your lab results if you've completed them. You can't book it at checkout. Once your results are in, we'll send you a link to book, and nothing more is charged when you book. The $99 deposit isn't applied toward membership. Your $99 deposit isn't refundable if you change your mind, if you don't complete your labs, or if your clinician decides treatment isn't right for you. We'll refund your $99 deposit in full if we cancel your first visit, if we can't provide it, or if we find after you pay that you aren't eligible for our care for a non-medical reason (for example, you're enrolled in Medicare or you won't be in Washington State for your visits). Your lab payment isn't refundable once your blood has been drawn. If you don't complete your blood draw, ask us within 60 days of your payment and we'll refund your lab payment (your panel and draw fee). We'll send your refund after our lab partner, Fullscript, refunds us. Your first visit is always offered, even if you don't complete your labs or our clinician decides treatment isn't right for you, because he still wants to talk it through with you. If you don't complete your labs, we'll still send you a link to book your visit. If you miss your first visit or cancel it with less than 24 hours' notice, you can rebook it once at no charge. If you miss or late-cancel the rebooked visit, your $99 deposit is used up and isn't refunded. The $40 late-cancellation fee never applies to your first visit.

Labs and medications. You pay for your initial comprehensive lab panel at our cost, with no markup. Membership includes the follow-up labs your clinician orders on the standard schedule for your treatment plan. For hormone therapy, labs after a later dose adjustment and add-on labs are paid by you at our cost, with no markup. We'll tell you before ordering any lab you'll pay for. Medications, supplements and other third-party products or services are not included in any Axiom membership, visit fee or estimate. You pay for them separately, and their prices are set by the provider, not by Axiom.

Good Faith Estimate. If you're paying for yourself, you have the right to a Good Faith Estimate of expected charges. The fees above are listed on your estimate as possible extra charges. If your bill is $400 or more above your estimate, you can dispute it. Learn more at www.cms.gov/nosurprises or call 1-800-985-3059.

Questions? info@axiomperformancemedicine.com · 206-880-0522 · Not for emergencies. Call 911.