SE Program Agreement

Sparks Family Medicine requires program agreements for patients who want to access integrative and functional medicine/subtle energy services. For information regarding program agreements, please call Sparks Family Medicine at (702) 722-2200 or email

Program agreements provide the terms, benefits, payments, patient responsibilities and change/termination requirements. Patients who agree to execute a program agreement should know:

    • Patient agreement payments are processed up to three days prior to the patient’s initially scheduled appointment, are nonrefundable and require a credit card for recurring payments. (Payments may be applied to a rescheduled initial appointment if time permits.)
    • There are additional costs for accessing some services, including but not limited to specialty laboratory testing, supplements and prescriptions.
    • Patients are responsible for accessing services, providing payment for services when due, updating contact information and terminating the patient agreement prior to scheduled payments, (if necessary).

Program agreements are available for review by prospective patients in the office during normal business hours. Program agreements are not provided to prospective patients outside of the office. Program patients are not allowed to keep blank patient agreements. Patients will receive a copy of the executed program agreements during their first office visit.