"You are the expert of your own body."

Welcome to The Aviva Way

We are the wicked smart best friend—a relentless partner grounded in science but driven by relationships. Our mission is to provide transformative care for those who have felt overlooked, empowering every guest to reclaim their vitality and feel like themselves again.

Kindness First We lead with compassion in every interaction. Whether a guest is nervous, frustrated, or uncertain, our first response is always warmth. Kindness isn't softness—it's the strength that builds trust. Curiosity Always We never stop learning—about our guests, our treatments, and ourselves. Curiosity is what drives us to ask the deeper question, explore new solutions, and connect dots across the four cornerstones of wellness. Chin Up We show up with confidence, resilience, and grace—even on the hard days. Chin Up means we hold the standard, support each other, and face every challenge knowing the work we do genuinely changes lives.

The Aviva Promise™

At Aviva Wo/Man, every guest deserves to feel seen, understood, and cared for beyond expectations.

We listen before we advise. We educate before we treat. We personalize rather than standardize.

We believe wellness is deeply personal, and every interaction is an opportunity to restore confidence, clarity, and hope. Whether answering a phone call, performing a treatment, or guiding a guest through their next step, we act with intention, empathy, and excellence.

Because at Aviva, care does not end with a service—it begins with a relationship.

Before every interaction, ask:

“How can I make this guest feel truly cared for right now?”

Our Vision

To redefine modern wellness by helping individuals feel vibrant, confident, and empowered through personalized care that supports health, vitality, and longevity at every stage of life.

Our Mission

At Aviva Wo/Man, we create a welcoming, judgment-free environment where individuals can address hormone health, metabolic wellness, skin health, and sexual vitality through personalized, evidence-guided care.

Through education, connection, and a 5-Star service experience, we support the physical, emotional, and mental well-being of every guest we serve.

Our team is united by purpose—knowing that every interaction has the power to positively change a life.

Our Purpose

To help people live fully and confidently by restoring balance, improving wellness from the inside out, and creating a space where health conversations feel safe, supported, and empowering.

Our Values

Every person is welcomed as a guest in our sanctuary.

We honor each guest’s time, trust, and individual journey.

We listen with empathy and lead with compassion.

Care is personalized—never one-size-fits-all.

Wellness begins within and radiates outward.

Education empowers lasting transformation.

The Four Cornerstones of Wellness

At the heart of The Aviva Way™ is the belief in supporting the whole person. Every service we offer is guided by these four pillars. We use these cornerstones to guide every treatment plan and guest interaction—connecting the dots between hormones, metabolism, skin, and sexual wellness so each guest receives care that addresses the full picture, not just a single symptom.

Hormone Health

We help patients identify and correct imbalances that affect sleep, energy, mood, metabolism, and sexual health. Our hormone therapy programs are designed to restore vitality and help you feel like yourself again.

  • Bioidentical Hormone Replacement Therapy (BHRT) [PLACEHOLDER]
  • Hormone Panel & Lab Review [PLACEHOLDER]
  • Thyroid Optimization [PLACEHOLDER]
  • Testosterone Therapy (Men) [PLACEHOLDER]

Weight & Metabolic Support

Through GLP-1 medications, nutritional guidance, and continuous glucose monitoring, we help guests create sustainable strategies for change—not quick fixes, but lasting transformation.

  • GLP-1 Weight Management Program [PLACEHOLDER]
  • Continuous Glucose Monitoring [PLACEHOLDER]
  • IV Vitamin & Nutrient Therapy [PLACEHOLDER]
  • Metabolic Lab Panels [PLACEHOLDER]

Skin Health & Aesthetics

We offer expert-driven treatments to restore confidence and protect skin health at every age. From microneedling to neurotoxins, every service is delivered with precision and care.

  • Botox & Neurotoxins [PLACEHOLDER]
  • SkinPen Microneedling [PLACEHOLDER]
  • Secret RF Microneedling [PLACEHOLDER]
  • ThermiSmooth Skin Tightening [PLACEHOLDER]

Sexual Wellness

We provide a safe, judgment-free space for patients to explore concerns related to stress, intimacy, and sexual vitality through treatments like ThermiVa® and PRP therapies.

  • ThermiVa® Treatments [PLACEHOLDER]
  • PRP Therapy [PLACEHOLDER]
  • Intimacy & Wellness Consultations [PLACEHOLDER]

The Aviva Way™

Our Forbes-Inspired 5-Star Standard of Care

At Aviva Wo/Man, we are not in the business of appointments. We are in the business of experiences. Every guest who walks through our doors is stepping into something they cannot get anywhere else—not because of the services we offer, but because of how we deliver them.

“I’ve never been treated like this in a medical office before.”

The 5 Moments That Define the Aviva Experience

1

The Welcome

The guest is acknowledged immediately, warmly, and personally. They are not a task. They are our guest.

“Hi Sarah, we’re so glad you’re here today.”
2

The Transition

The guest is escorted, not directed. This is hospitality, not hallway traffic.

“I’ll take you back to Bill now.”
3

The Education Moment

This is where Aviva shines. We don’t just perform services—we educate, guide, and connect dots across the 4 Cornerstones of Wellness. Every guest should leave knowing something new about their health and options.

4

The Provider Escort to Checkout

Providers walk the guest to the front desk and personally hand them off. This is where care continues, not where it ends. This single step is one of the biggest differentiators of The Aviva Way™.

“Let’s make sure we get your follow-up scheduled.”
5

The Goodbye

The guest leaves feeling seen, cared for, and supported. Not “You’re all set”—but a genuine, personal farewell.

“We’ll see you soon, Sarah. Text us if you need anything at all.”

What Aviva Focuses On

  • Connection
  • Education
  • Experience
  • Relationships

Every Role Owns This

  • Front desk sets the tone
  • Providers build trust
  • Estheticians reinforce confidence
  • Nurses support excellence
  • Assistants maintain flow and calm

Before every interaction, ask: “Is this how a 5-Star guest would be treated?”

Guests don’t stay with us just because of hormones, skin treatments, or weight programs. They stay because of how they feel when they’re here. They refer their friends because of how they were treated. They trust us because of how consistently we show up.

That is The Aviva Way™. And that is the standard we protect every day.

Explore the Manuals

Dive deeper into your role with detailed guides and protocols.

Front Desk Manual

Operations, guest service, scheduling, labs, and the complete guide to being the heartbeat of the clinic.

Provider Manual

Clinical protocols, treatment procedures, documentation standards, and service excellence.

Shared Policies

Wellness perks, retail as care framework, information security, and policies that apply to all team members.

Training Library

Video tutorials for Aesthetics Pro, Weave, Trello, and step-by-step operational guides.

Aviva Wo/Man | Team Knowledge Base | Confidential & Proprietary

Front Desk Manual

A Guide to The Aviva Way™ for 5-Star Service

Five-Star Service: Front Desk

The front desk sets the tone for the entire Aviva experience. You own the first impression and the last—the moments guests remember most. Here is what 5-star service looks like in your role:

1

The Welcome

Every guest is acknowledged immediately, warmly, and personally. They are not a task—they are our guest. Greet them by name, make eye contact, and stop what you are doing when someone approaches.

“Hi Sarah, we’re so glad you’re here today.”
2

The Transition

Guests are escorted to their provider, not pointed down a hallway. This is hospitality, not hallway traffic. A warm, personal handoff builds trust and eases any nervousness.

“I’ll take you back to Bill now.”
3

The Goodbye

The guest leaves feeling seen, cared for, and supported. Ensure their follow-up is scheduled, answer any final questions, and close with a genuine, personal farewell—not “You’re all set.”

“We’ll see you soon, Sarah. Text us if you need anything at all.”

Part 1: The Aviva Wo/Man Foundation

Chapter 1: Introduction & Mission

At Aviva Wo/Man, our mission is to provide compassionate, expert care that transforms lives. The front desk is considered the heartbeat of the clinic—it provides the first and last impression every guest receives. This manual serves as a guide for delivering consistent, efficient, and exceptional service that reflects our brand values. This is an invitation to embody The Aviva Way™: a philosophy of care that honors each individual and supports them on their wellness journey.

The Four Cornerstones of Wellness

At the heart of The Aviva Way™ is the belief in supporting the whole person. Every service we offer is guided by these four pillars:

  • Hormone Health: We help patients identify and correct imbalances that affect sleep, energy, mood, metabolism, and sexual health. Our hormone therapy programs are designed to restore vitality.
  • Weight & Metabolic Support: Through GLP-1 medications, nutritional guidance, or continuous glucose monitoring, we help guests create sustainable strategies for change.
  • Skin Health & Aesthetics: We offer expert-driven treatments to restore confidence and protect skin health at every age.
  • Sexual Wellness: We provide a safe space for patients to explore concerns related to stress, intimacy, and sexual vitality through treatments like ThermiVa® and PRP.
The Aviva Way™ Meets Five-Star Service

We hold ourselves to a service standard inspired by Forbes Five-Star Hospitality principles, meaning every interaction should feel genuine, gracious, seamless, and consistent. This includes:

  • Answering the phone within 3 rings with a warm tone.
  • Greeting guests by name when they arrive.
  • Offering water or other comforts while they wait.
  • Personally introducing a new guest to their provider.
  • Escorting guests to the check-out area rather than pointing.

Part 2: Clinic Operations & Workflows

Chapter 2: Guest Communication Standards

Documentation

Every phone call, question, or update related to a guest's care or schedule must be documented in the Correspondence section of Aesthetics Pro. Logs should be factual and clear, including the date, time, and a summary of the discussion.

Operational Follow-Through

It is critical that tasks like sending labs, confirming appointments, or collecting payment are not skipped. Double-check every chart for completed forms, accurate tags, and proper scheduling.

Automated Payments Cancellation Policy

Cancellation of automated payments (such as the $99 Monthly Hormone Membership) must follow this strict protocol to protect both the guest and the clinic:

  1. Initiation: All cancellation requests must be initiated by the guest via email or text message. Verbal requests alone are not sufficient.
  2. Cancellation Consent Form: The cancellation is not finalized until the guest has signed the official "Cancellation Consent Form." This form must be completed before any changes are made to their billing.
  3. No Retroactive Refunds: Payments that were processed prior to the signed cancellation form are non-refundable. The cancellation takes effect for future billing cycles only.
  4. Documentation: Log the cancellation request, the date the form was signed, and the effective cancellation date in the Correspondence section of Aesthetics Pro.
Prescription Refill Policy: The 5-Business Day Rule

To ensure timely processing and avoid gaps in care, all prescription refill requests must adhere to the following policy:

  • 5-Business Day Notice: Guests must submit refill requests at least 5 business days in advance of when they need their medication.
  • No Guarantees for Late Requests: Requests submitted with less than 5 business days' notice cannot be guaranteed. The clinic will make reasonable efforts, but delays may occur.
  • How to Request: Refill requests can be submitted via the patient portal, phone, or text. All requests are logged in Aesthetics Pro.
  • Proactive Reminder: During checkout, remind guests on hormone therapy or ongoing prescriptions of this policy, especially if their next visit is more than a month away.

Chapter 3: Lab & Appointment Protocols

Hormone Therapy Pathways

The clinic offers three hormone therapy programs, and the front desk is responsible for properly tagging clients in Aesthetics Pro, scheduling appointments, and ensuring smooth communication.

  1. Pellet Therapy
  2. $99 Monthly Hormone Therapy Membership
  3. Pay-As-You-Go
Lab Ordering & Management Protocol
  1. Step 1: Determine Billing Method: Labs can be billed to insurance or self-pay. For insurance billing, a Preliminary Visit with a provider is required to assign ICD-10 codes, and a photo of the insurance card must be taken. For self-pay, payment is collected upfront.
  2. Step 2: Ordering Labs: Use the LabCorp system to create new patient orders. Save the requisition PDF with the naming format: First Last Initial Req_MM_DD_YY and upload it to the client's chart.
  3. Step 3: Uploading Lab Results: Go to the Results Inbox in LabCorp, select the date range, and print each guest's results as a PDF. Save the PDF with the format FirstLast_InitialResults_MM_DD_YY and upload to their chart.
  4. Step 4: Lab Result Follow-Up: Ensure all results are entered into the LAB File in Aesthetics Pro. Prepare required documents for the provider and guest.
Managing Membership Enrollment
  • Pellet Therapy: Collect payment for the insertion and schedule their next procedure.
  • $99 Monthly Membership: Enroll the client in recurring billing in Aesthetics Pro, with the first 3 months paid upfront. Tag the client as "$99 Hormone Membership".
  • Pay-As-You-Go: No enrollment is necessary, but note their treatment plan in Aesthetics Pro.
Follow-Up Visit Scheduling
  • Hormone Subscription Plan: Schedule follow-ups every 10–11 weeks.
  • Pellet Therapy: Schedule women every 3–5 months and men every 4–6 months.
  • Annual Labs: For the Pellet Program, schedule labs to be reviewed 6 weeks after placement. For the Hormone Subscription, schedule labs around Month 13 for the review appointment at Month 15.

Part 3: Front Desk Procedures

Chapter 4: Checkout Checklists & Tasks

Provider Checkout Form (Next Steps / Routing Sheet)

Before the guest leaves the treatment room, the provider completes a "Next Steps" or "Routing Sheet" that travels with the guest to the front desk. This form includes:

  • Product Recommendations: Specific products the provider recommends for home care, listed by name.
  • Next Appointment Timeframe: The recommended window for booking (e.g., "3 weeks for follow-up," "10-11 weeks for quarterly visit").
  • Special Instructions: Any notes the front desk needs to know (e.g., "needs lab order sent," "schedule 2-week Botox check").

The Front Desk uses this form to fulfill the provider's recommendations as medical advice, not as a sales pitch. This is the foundation of "Retail as Care."

Pre-Book Appointments (The Gracious Goodbye – Step 3)

Pre-booking is Step 3 of the "Gracious Goodbye" checkout workflow. After reviewing the provider's Next Steps form:

  1. Review the Routing Sheet: Identify the recommended timeframe for the next visit.
  2. Use the Script: Say: "Let's get that spot held for you." This language frames booking as a benefit to the guest, not a task.
  3. Book the Appointment: Find a time that works within the provider's recommended window.
  4. Confirm & Document: Verbally confirm the date/time and ensure it's logged in Aesthetics Pro before moving to payment.
Appointment Type Protocols & Checklists
Preliminary Visit for Insurance Billing
  • Confirm the purpose is ICD-10 coding.
  • Have the guest sign the "Informed Consent for Billing Labs to Insurance".
  • Take a picture of the insurance card(s).
  • Order labs after the visit.
Initial Hormone Consultation
  • Send and confirm all necessary forms are complete.
  • Create a white folder for the client with their lab results.
  • Take a chart photo and record weight/measurements.
Pellet Placement
  • Confirm the date of the last placement to ensure eligibility.
  • Schedule follow-up labs (4–6 weeks post first pellet).
  • Schedule the next repeat appointment.
Hormone Subscription Follow-Up Visits (Quarterly)
  • Confirm active membership.
  • Print labs and update the client's folder.
  • Take weight at check-in.
  • Ask if they would like their included vitamin injection for the visit.
  • At the 12-month visit, ensure comprehensive labs are ordered for the next quarterly appointment.
Follow-Up Lab Review (In-Person or Phone)
  • Confirm lab results are uploaded and ready for the provider.
  • Confirm if the fee is collected or waived based on their program.
  • For phone reviews, email the results to the guest prior to the call.
Yearly Lab Review + Consult
  • This is for non-subscription clients or the 15-month review for subscription members.
  • The fee is waived for individuals on the hormone subscription plan or pellets.
  • Fill out the wellness overview form with pre-treatment and current lab results, dating each draw.

Chapter 5: Front Desk Protocols

Note: Detailed click-by-click software tutorials are available in the Training Library as video walkthroughs.

5.1 Using Software
Aesthetics Pro

Aesthetics Pro is our primary patient management system. Key functions include:

  • Patient chart management and documentation
  • The "Initial History" folder for BHRT Checklists and Consents
  • Lab requisition and results uploads
  • Automated payment enrollment and management
  • Correspondence logging for all guest communications

🎥 See Training Library for video tutorials on each function.

Weave

Weave handles guest communication and review management:

  • Two-way texting for appointment confirmations
  • Sending review requests to satisfied guests
  • Managing incoming calls and messages

🎥 See Training Library for video tutorials.

Trello: The Daily Flow

Trello is our task management system for tracking daily operations. Use Trello to:

  • Track task completion throughout the day
  • Hand off incomplete items between shifts
  • Maintain visibility on recurring tasks

Trello has largely replaced the manual Daily Log Communication Book.

5.2 Automated Payments

For the $99 Monthly Hormone Membership and other recurring payment plans:

  • Setup: Enroll new members in Aesthetics Pro with first 3 months paid upfront. Tag the client appropriately.
  • Management: Monitor for failed payments and follow up promptly.
  • Cancellation: See Chapter 3 for the Cancellation Policy. Requires signed Cancellation Consent Form.

🎥 Technical "how-to" steps available in Training Library videos.

5.3 Service-Related Intake Forms

Forms should be organized into two categories by year. Each year, ensure forms are up-to-date before the new year begins.

  • 20YY Wellness: BHRT, Hormone Therapy, Lab forms
  • 20YY Aesthetics: Skin treatments, injectables, consents
Wellness Forms (20YY)
Intake Forms
  • BHRT #1 (or Initial for first-time guests)
  • Brief Sexual Function Index (men)
  • Female Sexual Function Index (women)
  • General Intake and History - Female/Male (initial)
  • General History Update - Female/Male (repeat)
  • Gut Health Checklist
  • Urinary Incontinence Questionnaire (female)
Consents
  • Hormone Therapy Consent
  • IM and IV Informed Consent
  • Mammo and Pap (female)
  • Testosterone Pellet Insertion
Treatment Instructions
  • BHRT Post Instructions
  • Hormone Pellet Insertion Post Care
Aesthetics Forms (20YY)
Intake Forms
  • Skin Type Assessment
  • Health History (if not in wellness section)
  • Skin Health Initial Intake/#2
Consents
  • Chemical Peel Consent
  • Botox Consent
  • Filler Consent
  • Service-specific consents as needed
Treatment Instructions
  • Post-treatment instructions for each service given
New Guest Chart Setup Order

Create in this order. Note: Aesthetics Pro adds newest charts on top.

  1. (ADD FIRST) LABS — Notepad, Upload Documents, Upload Picture
  2. Consent to Bill Insurance (if billing)
  3. ICD-10 Codes (if billing insurance)
  4. Correspondence — Notepad
  5. Prescriptions — Prescription Notepad
  6. Automated Payments — Notepad + Consent for requested plan
  7. 20YY Wellness or Aesthetics — Forms according to service
5.4 Sending Out Reviews

Request client reviews through Google using Weave to enhance our online reputation and client engagement.

  • Look for happy, satisfied guests—especially after successful treatments
  • Send the review request before they leave or shortly after via Weave
  • Pro-Tip: Remind clients at checkout: "We'd love to hear about your experience! You'll get a link to leave a review later today."

🎥 See "Weave: Review Requests" in the Training Library.

Step 1: Prepare for Review Requests
  • Access Weave: Log in to the Weave dashboard at the end of the workday
  • Verify Completed Appointments: Cross-check the day's completed appointments in Aesthetics Pro with client info in Weave
  • Exclude: No-shows, cancellations, or reschedules from review requests
  • Review Client Interactions: Only send requests to clients who had a positive or neutral experience (no unresolved issues)
Step 2: Send Review Requests

Sample Text Message Template:

"Thank you ever so much for visiting AVIVA. We'd love to hear about your experience! Please leave us a 5-star review at [REVIEW LINK] to share your thoughts!"

  • Use the text message feature in Weave
  • Double-check recipient's contact information
  • Include the appropriate review link (Google or Facebook)
  • Track sent messages to avoid duplicates
Step 3: Monitor & Follow-Up
  • Check Google reviews regularly (daily or weekly)
  • Respond to all reviews, thanking clients for feedback
  • Negative Reviews: Escalate to Office Manager or Owner to address concerns privately
Monthly Tracking
  • Track the number of reviews generated each month
  • Identify trends (which platform gets more engagement)
  • Adjust the template or approach as needed
  • Periodically review the protocol with the team
5.5 Daily Operations: The Daily Rhythm
Opening (OPEN)
  • Turn on lights throughout the clinic
  • Start the music at appropriate volume
  • Ensure the music is on in the IV room
  • Prepare ice for treatment rooms
  • Check the schedule for the day and prepare charts
  • Ensure the lobby is clean and welcoming
Closing (CLOSE)
  • Review all invoices—ensure charges match services rendered
  • Check that medication fridge is completely closed
  • Take out the trash
  • Lock all doors and set the alarm
  • Final walkthrough: ensure all tasks complete
Morning Tasks
  • Review appointment schedule for today and tomorrow
  • Verify client forms are completed for today's and tomorrow's appointments
  • Ensure the music is on in the IV room
  • Organize the front desk area and confirm all supplies are stocked
  • Check and respond to emails, texts, and voicemails
  • Prepare lab folders for any required appointments
  • Verify payments and check for any outstanding balances
  • Ensure appointment folders are made for lab review appointments
Throughout the Day
  • Take pictures for all aesthetic appointments
  • Weigh and measure patients for monthly weight management appointments
  • Collect and process payments, ensuring all transactions are recorded properly
  • Check membership payments for ASA and $99 Monthly Plan members
  • Maintain cleanliness and organization in reception and treatment areas
  • Monitor and restock retail displays as needed
  • Complete client follow-ups report
  • Handle emails, texts, and faxes
  • Process lab reports and lab orders
Afternoon/Evening Tasks
  • Send out Google review requests for today's appointments
  • Confirm tomorrow's appointments (if Friday, confirm Tuesday's appointments)
  • Ensure patient forms for upcoming appointments are filled out and available in the chart
  • Reconcile invoices and verify that all payments are processed correctly
  • Check and address any last-minute emails, texts, or voicemails
  • Check that medication fridge is completely closed
  • Take out the trash
  • Final walkthrough: ensure all front desk tasks are completed before leaving
6.6 Measure and Weigh Procedures

For Weight Management patients, take consistent measurements at each visit:

  • Weight: Recorded at every visit
  • Measurement Points: Neck, Arm (bicep), Waist (at navel), Hips (at widest point)
  • Consistency: Use the same scale and measuring tape. Have the guest stand in the same position each time.
6.7 Taking Before/After Photos

Standardized photography ensures accurate treatment documentation:

  • Angles: Front view, ¾ view (both sides), and Profile view
  • Lighting: Consistent, even lighting. Avoid shadows on the face.
  • Background: Use the same neutral background for all photos
  • Positioning: Guest should be in the same position for before and after shots

[Detailed camera settings pending documentation.]

5.8 Answering Phones
Phone Etiquette
  • The 3-Ring Rule: Answer all calls within 3 rings
  • Standard Greeting: "It's a great day at Aviva Wo/Man, this is [Your Name], how can I brighten your day?"
  • Warm Tone: Smile while you speak—it comes through in your voice
  • Documentation: Log all calls in the Correspondence section of Aesthetics Pro
Appointment Request Conflict Script

Use when appointments scheduled through Aesthetics Pro conflict with availability

"Good morning [First Name]! This is [YOUR NAME] with Aviva Wo/Man. I see that you requested an appointment online. We have a schedule conflict during that time. Can you come in at [DAY AND TIME]?"

6.9 Confirming Appointments & Requesting Add-Ons

Use Weave for appointment confirmations via text. When confirming:

  • Confirm the date, time, and service
  • Mention any prep instructions (e.g., "Remember to fast for labs")

[Specific scripts for add-on requests pending development.]

6.10 Closing Shift & Reviewing Invoices

Before closing, review all invoices from the day to ensure accuracy:

  • Verify that charges match the services rendered
  • Check for any missed charges or incorrect pricing
  • Ensure all payments have been collected or payment plans documented
  • Flag any discrepancies for the manager

[Detailed checklist pending finalization.]

Aviva Wo/Man Front Desk Manual | Confidential & Proprietary

Provider Manual

A Guide to Clinical Excellence and The Aviva Way™

Five-Star Service: Providers

Providers are where clinical excellence meets the Aviva experience. You build the trust that keeps guests coming back—and referring their friends. Here is what 5-star service looks like in your role:

1

The Education Moment

This is where Aviva shines. We don’t just perform services—we educate, guide, and connect dots across the 4 Cornerstones of Wellness: Hormone Health, Weight & Metabolic Support, Skin Health & Aesthetics, and Sexual Wellness. Every guest should leave knowing something new about their health and options.

2

The Provider Escort to Checkout

Providers do not say “You can head up front.” You walk the guest to the front desk and personally hand them off. During this walk, check in on supplements, confirm follow-up scheduling, and reinforce next steps. This is where care continues, not where it ends—and this single step is one of the biggest differentiators of The Aviva Way™.

“Let’s make sure we get your follow-up scheduled.”

Part 1: The Aviva Wo/Man Foundation

Chapter 1: Introduction & The Aviva Way™

1.1 Our Brand Story: The Wicked Smart Best Friend

Aviva Wo/Man is rooted in the philosophy that "You are the expert of your own body." We believe in listening first, learning together, and empowering our guests without limits. Our identity is that of "the wicked smart best friend"—a relentless partner, grounded in science but driven by relationships. Our core values are kindness, curiosity, and "chin up."

1.2 Our Mission: Who We Help & Why

Our mission is to provide transformative care for a diverse audience who have often felt overlooked. We are here to help women who are desperate for answers, tired of being told their symptoms are "normal," and who want a better quality of life.

1.3 The Four Cornerstones of Wellness

Hormone Health, Weight & Metabolic Support, Skin Health & Aesthetics, and Sexual Wellness.

1.4 The 5-Star Service Standard

Every interaction should feel genuine, gracious, and seamless. This includes greeting guests by name, offering comforts, and providing expert, empathetic care.

Part 2: Clinic Operations & Workflows

Chapter 2: Guest Communication Standards

Every interaction, clinical decision, and change to a care plan must be meticulously documented in the patient's chart in Aesthetics Pro. Communicate clearly with the front desk team regarding follow-up needs, scheduling, and specific instructions for a patient's care plan.

Chapter 3: Lab & Appointment Protocols

Providers must be familiar with the three Hormone Therapy Pathways (Pellet, $99 Monthly, Pay-As-You-Go) to guide patients. You are responsible for determining appropriate ICD-10 codes for insurance-billed labs and ordering correct panels for self-pay clients via LabCorp.

Part 3: Medical Provider Protocols & Clinical Care

Chapter 4: Hormone Therapy Pathways

This chapter outlines the cadence and goals of each appointment within the hormone programs. Key appointments include the Initial Consultation (Month 0), Quarterly Visits (Months 3, 6, 9), Annual Wellness Review (Month 12), and the 15-Month Lab Review to kick off the next cycle.

Chapter 5: Service Protocols

Provider Protocol: Neurotoxins (Botox) – The Aviva Way™

  1. Prepare Room: Confirm room is clean, stocked, and ice bowl is ready.
  2. Pre-Treatment Review: Greet guest, review consent/history, discuss goals, and set expectations.
  3. Before Photos: Capture standardized front, ¾, and profile views.
  4. Treatment Steps: Cleanse, mark injection sites, ice for comfort, and inject using aseptic technique.
  5. Documentation: Record product, lot number, total units, and injection map in patient's chart.
  6. Escort & Post-Care: Walk guest to the front, verbally review post-care (stay upright, avoid exercise), and encourage a 2-week follow-up.

Provider Protocol: SkinPen Microneedling

  1. Pre-Procedure: Patient completes consent. Confirm no contraindications (sunburn, active breakouts). Take before photos.
  2. Setup: Cleanse face. Apply BioSheath and sterile cartridge to SkinPen. Apply Skinfuse Lift HG.
  3. Treatment: Power on, set depth starting at 0.25mm. Work in quadrants, gliding pen in horizontal and vertical motions. Adjust depth for facial area (e.g., Forehead: 0.25-1.0mm).
  4. Post-Procedure: Pat with sterile gauze, apply more Skinfuse Lift HG, provide post-care instructions (avoid sun/exercise for 72 hours).

Provider Protocol: Secret RF (Radiofrequency) Microneedling

  1. Pre-Procedure: Confirm patient has avoided sun exposure and blood thinners.
  2. Protocol: Cleanse skin, apply topical numbing for 45 mins. Perform the 20-30 minute treatment. Apply a cool, soothing peptide mask. Optional PRF or Tensage® Serum add-on.
  3. Post-Procedure: Inform patient of expected redness and rough skin texture for 2-3 days. Instruct not to wash face until the next day.

Provider Protocol: ThermiSmooth RF Facial

  1. Preparation: Double cleanse, exfoliate, and tone.
  2. Peel: Apply a Janssen glycolic peel for 3-4 minutes, then neutralize.
  3. RF Application: Apply ampoule and ultrasound gel. Use ThermiSmooth device to reach and maintain therapeutic temperature per face map.
  4. Finishing: Remove gel. Perform a lip treatment with an enzyme peel. Apply remaining ampoule, finishing products, and SPF.

Provider Protocol: Weight Management (GLP-1 & GLP-2) Program

  • Initial Consult: Review forms, discuss history/goals, educate on program options, and create treatment plan.
  • CGM Visit: Educate on benefits, apply sensor, ensure app is synced, and provide patient education on tracking.
  • Monthly Pickup: Record weight/measurements. Check in on tolerance, side effects, and progress. Adjust dose if needed and provide take-home injections.

Provider Protocol: IV Nutrient & Vitamin Shot Therapies

This protocol involves selecting from a menu of available nutrients (e.g., Glutathione, Magnesium, B Vitamins, NAD+) and administering them via IV infusion or IM injection according to the specified dosing guidelines based on the patient's individual needs and wellness goals.

Provider Protocol: ThermiVa Feminine Rejuvenation

  1. Pre-Treatment: Review completed forms (Medical History, FSFI, UIQ, Consent). Discuss goals and confirm no contraindications.
  2. Setup: Prepare room with proper draping and supplies (ThermiVa wand, grounding pad, gel).
  3. Treatment: Place grounding pad. Perform internal treatment, maintaining a therapeutic temp of 42-47°C. Proceed to external treatment.
  4. Post-Procedure: Clean area, remove grounding pad, and initiate follow-up cadence (next-day call, etc.).

Provider Protocol: PRP Injections (O-Shot® & P-Shot®)

  1. Pre-Treatment: Review forms and consent. Apply topical numbing cream for 20-30 minutes.
  2. PRP Prep: Draw patient's blood, spin in centrifuge, and isolate the platelet-rich plasma.
  3. Injection: Cleanse numbed area. Inject PRP into target tissues (clitoris/G-spot for O-Shot®; penile tissue for P-Shot®).
  4. Post-Procedure: Provide post-care instructions and initiate 3-week and 7-week follow-ups.

Aviva Wo/Man Provider Manual | Confidential & Proprietary

Shared Policies

Policies and programs that apply to all Aviva Wo/Man team members

Wellness + Perks Program

At Aviva, we believe our team deserves the same level of care, support, and wellness that we provide to our guests every day. Eligible employees earn quarterly wellness credits based on tenure ($0.50–$1.00 per hour worked) that can be redeemed for services, retail products, and supplements at special employee pricing.

Our Philosophy

When you feel healthy, confident, and energized—you can give your best to others. This is one way we say: You matter. Your health matters. Your happiness matters.

Eligibility
  • All current W2 employees are eligible
  • Tenure-based credit earnings begin on the first full quarter of employment
  • Employees must remain in active employment and good standing
How Credits Are Earned

Credits are added quarterly, based on hours worked:

Tenure with Aviva Credit Earn Rate
1–3 Years $0.50 per hour worked
4–7 Years $0.75 per hour worked
8+ Years $1.00 per hour worked

Example: If you work 120 hours in the quarter and are in Tier 2, you earn $90 in credits.

How Credits Can Be Used

Credits can be redeemed for:

  • Aesthetic services
  • IV therapy + vitamin injections (standard + NAD+)
  • Retail skincare & products
  • Supplements
  • Labs ordered through Aviva

Credits always apply after employee pricing/discounts (to maximize your savings!)

Credit Loading & Expiration

Credits are loaded into your account:

  • Jan 1
  • Apr 1
  • Jul 1
  • Oct 1

Expiration: All unused credits expire at the end of each calendar quarter. New credits replace expired credits at the quarterly load.

Employee Discounts & Pricing Rules
Retail Discounts
  • 45% OFF skincare + retail items
  • 30% OFF supplements
Service Pricing
  • Botox + Dysport: full employee pricing eligible with credits
  • Standard IV Wellness Drips: eligible
High-Cost Items (50% credit max)
  • Dermal fillers
  • NAD+ vials
  • Peptide vials
Scheduling Guidelines

To ensure patient-first operations:

  • Employee services may be booked any day during non-peak times
  • Pending patients or walk-ins take priority
  • If a guest needs the spot, employee visit may be rescheduled
  • The team member receiving the service must be clocked out
  • The team member providing the service remains clocked in
Program Limitations

Credits may NOT be used for:

  • Lash extensions
  • Gift cards
  • Gratuities
  • Promotions/sales pricing
  • Subscription membership fees

Important Notes:

  • Credits have no cash value
  • Credits may not be transferred to other employees or guests
  • This benefit may be updated at any time to ensure the program remains fair, sustainable, and aligned with our clinic mission
Front Desk & Provider Workflow

Ensuring employee services are scheduled, billed, and documented correctly

1. Identifying Employee Appointments

  • All employee services must be booked under the "Employee" service menu in AestheticsPro
  • Employee pricing applies only when the correct Employee service is selected

2. One-Time Equipment Items (Thermi Services)

Before booking, confirm whether the employee has already purchased:

  • Employee ThermiVa Wand + Grounding Pad (One-Time)
  • Employee ThermiSmooth Grounding Pad (One-Time)

3. Check-In Process

  • Confirm the employee is clocked out if receiving a service
  • Verify correct Employee service selected
  • Verify appointment length matches service

4. End-of-Day Review

  • Confirm all employee appointments have invoices attached
  • Verify proper documentation
  • Ensure billed using Employee services only
Team Member Exclusive Menu (Sample Pricing)

Complete menu available in AestheticsPro under "Employee" services

Injectables
  • Employee Botox: $6.00/unit
  • Employee Xeomin: $5.00/unit
  • Employee Dysport: $1.90/unit
  • Employee Filler: Cost + $35
Skin Services
  • Employee Facial: $31.00
  • Employee Microdermabrasion: $31.00
  • Employee Medical Grade Peel: $123.00
  • Employee SkinPen: See full menu
IV Therapy
  • Basic IV Drips: $50.00
  • Specialty IV (Beauty/Detox): $65.00
  • IV Myers' Cocktail: $120.00
  • IV NAD+: $100.00
Vitamin Injections
  • All vitamin shots: $10.00
  • B12, Lipo+, Tri-Immune, Vitamin C, Vitamin D, and more
Thermi Services
  • Employee ThermiVa: $288.00
  • Employee ThermiSmooth (per area): $15–$45
PRP Services
  • Employee PRP Facial: $150.00
  • Employee PRP Shot: $190.00
  • Employee Hair Restoration: $190.00

Retail & Care Support Framework

At Aviva Wo/Man, we don't "sell" products—we provide continuing care. When a provider recommends a product, they are extending the treatment room into the guest's home. The Front Desk's role is to fulfill that medical advice, not to make a sales pitch.

The Philosophy

This framework shifts our mindset from retail transactions to medical recommendations. You are helping guests follow their provider's advice, not upselling.

How It Works
  1. Provider Documents Recommendations: During the visit, the provider logs specific product recommendations in the guest's chart and on the "Next Steps" routing sheet.
  2. Front Desk Fulfills the Recommendation: At checkout, reference the provider's notes: "Dr. Smith recommended the Tensage Serum for you to continue your results at home. Let me get that ready for you."
  3. Frame as Care, Not Commerce: The language matters. You are helping them follow their provider's advice, not upselling.
  4. Document the Outcome: Note in the chart whether the guest purchased the recommended products or declined.
Key Phrases to Use
  • "Your provider recommended this to support your results at home."
  • "This is part of your treatment plan."
  • "Let me get that ready for you." (assumes the sale as care)
What to Avoid
  • Pushy sales language or pressure tactics
  • Recommending products the provider didn't specifically suggest
  • Making guests feel obligated or uncomfortable

Information Security

This policy covers all aspects of security surrounding confidential company and guest information. Key responsibilities include protecting cardholder data (never transmit full card numbers), maintaining strong passwords, following clear desk policies, and reporting any suspicious activity immediately.

Your Core Responsibilities
  • Handle data with care: Treat all company and guest information with the sensitivity it deserves
  • Protect cardholder data: Never email, text, or transmit full credit card numbers
  • Keep passwords secure: Do not share accounts or passwords with anyone
  • Clear desk policy: Always leave desks clear of sensitive data and lock computer screens when unattended
  • Report incidents immediately: If you notice anything suspicious, report it right away
Acceptable Use Policy

You are responsible for exercising good judgment regarding personal use of company systems:

  • Ensure you have appropriate credentials and are authenticated for technology use
  • Take all necessary steps to prevent unauthorized access to confidential data
  • Keep passwords secure—authorized users are responsible for the security of their passwords and accounts
  • All PCs, laptops, and workstations should be secured with a password-protected screensaver
  • Use extreme caution when opening email attachments from unknown senders

Do NOT use company systems for:

  • Any action that is offensive, threatening, discriminatory, or harassing
  • Disclosing personnel information unless authorized
  • Installing unauthorized software or hardware without management approval
Protecting Cardholder & Guest Data

Strictly Prohibited:

  • Storing the contents of payment card magnetic stripes on any media
  • Storing CVV2/CVC2 (the 3 or 4 digit security code) anywhere
  • Storing PINs or encrypted PIN blocks under any circumstance
  • Sending full card numbers via email, text, WhatsApp, or any messaging app

When displaying card numbers: Only show the first 6 and last 4 digits. The middle digits must be masked.

Physical Security
POS Device Security
  • Periodically inspect terminals for tampering or substitution
  • Verify identity of anyone claiming to repair or replace devices
  • Report suspicious behavior to management immediately
Visitor Management
  • Visitors must always be escorted in areas with sensitive information
  • Distinguish between employees and visitors at all times
  • All service personnel must have verified, pre-scheduled visits
Media Handling
  • Paper documents with sensitive data must be securely shredded
  • Keep sensitive materials in locked storage when not in use
  • Never leave printed documents with guest data unattended
Password Policy

A strong password must:

  • Be at least 12 characters long
  • Include mixed-case letters (uppercase and lowercase)
  • Include digits and punctuation marks
  • NOT be based on personal information (birthdays, names, etc.)
  • NOT be based on any dictionary word

Account Lockout: After 5 unsuccessful login attempts, your account will be locked for a minimum of 30 minutes or until an administrator enables it.

Reporting Security Incidents

If you observe any of the following, report immediately to management:

  • Suspicious emails (phishing attempts)
  • Unknown individuals in secure areas
  • POS devices that appear tampered with
  • Unauthorized access attempts
  • Lost or stolen devices containing company data
  • Any breach of confidential information
Compliance & Disciplinary Action

Violation of security policies will result in disciplinary action, from warnings up to and including termination of employment. Claims of ignorance, good intentions, or poor judgment will not be accepted as excuses for non-compliance.

We each have a responsibility for ensuring our company's systems and data are protected from unauthorized access and improper use. If you are unclear about any policy, seek guidance from your manager.

Human Resources

These policies govern employment at Aviva Wo/Man—covering work schedules, time off, confidentiality, and the professional standards that define The Aviva Way™ as a workplace. All team members are expected to know and follow these policies.

Work Schedule & Time Management

At Aviva Wo/Man, we are committed to creating a work environment that promotes both exceptional patient care and ongoing professional development.

  • Start and End Times: Employees are expected to clock in one hour before their first scheduled appointment and conclude work no later than one hour after their last scheduled appointment.
  • Utilizing Downtime: In the event of appointment cancellations or gaps, employees are responsible for efficiently utilizing the available time for tasks like follow-up calls, patient outreach, continuing education, or team meetings.
  • Schedule Flexibility: Employees are expected to regularly monitor the scheduling system. If scheduled hours significantly exceed booked appointments, employees should be flexible in adjusting their availability in communication with the reception team.
Time Off Policies

Personal Time Off (PTO):

  • No PTO is accrued during the first 12 months of service unless specified otherwise.
  • After 12 months, employees receive 5 days (40 hours). Accrual increases with years of service.
  • Requests for 5 days or longer require 1 month’s notice; requests for less than 5 days require 2 weeks’ notice.
  • PTO does not roll over to the next calendar year.

Holidays:

  • The clinic recognizes specific paid holidays, which are announced annually.
  • Holiday pay is typically for 6 hours or the average number of hours worked on that day for a given shift.

Maternity & Adoption Leave:

  • Eligible full-time employees with at least 1 year of service may receive 3 months of leave with an additional month of transition back to work.
  • Leave may be partially paid.
HIPAA & Patient Confidentiality

Policy Statement: All team members must protect the privacy and security of guests’ Protected Health Information (PHI).

Core Principles:

  • Verbal Discretion: Never discuss sensitive medical information in shared spaces or in front of other guests. Conversations must happen in private, designated areas.
  • Physical Security: Do not leave charts, notes, or lab results visible to others at the front desk.
  • Identity Verification: Always confirm a guest’s identity before disclosing any sensitive information over the phone or by email.
  • Documentation: Use the Correspondence section in Aesthetics Pro to document every phone call, question, or update related to a guest’s care.
Credit Card Terminal Policy

To protect our guests and the clinic from fraud, all team members must follow these credit card terminal security procedures:

  • Daily Inspection: Physically inspect all credit card terminals at the start of each shift for signs of tampering, skimmers, or unusual attachments. Report any irregularities immediately to management.
  • Technician Verification: Never allow anyone claiming to be a “technician” to access or service the credit card terminals without first verifying their identity with the office manager or owner. Legitimate service visits will always be pre-scheduled.
  • No Digital Transmission of Card Numbers: Never email, text, or digitally transmit a guest’s full credit card number. If payment information must be collected remotely, use the secure payment link in Aesthetics Pro.
  • PCI Compliance: Do not write down full card numbers. If a partial number is needed for reference, only the last 4 digits may be documented.
Code of Conduct

At Aviva Wo/Man, our team is our most valuable asset. Our standard is to deliver 5-Star Service in every interaction—with our guests, each other, and our community.

  • Professional Excellence: Arrive prepared, on time, and ready to contribute positively.
  • Guest Experience: Greet every guest warmly, making them feel welcome, comfortable, and valued.
  • Teamwork & Collaboration: Treat colleagues with respect, kindness, and support—no exceptions.
  • Integrity & Accountability: Uphold honesty and ethical standards in every decision. If a mistake occurs, acknowledge it promptly and work with the team to make it right.
  • Growth & Innovation: Stay curious and committed to learning. Embrace training opportunities and be open to feedback.

In summary: The Aviva Way means showing up with excellence, integrity, and heart—so that every guest and every team member feels valued.

Dress Code Policy

Our appearance reflects our commitment to professionalism, safety, and 5-Star Service.

General Guidelines (All Staff):

  • Clothing and shoes must be clean, neat, and in good condition.
  • Personal grooming and hygiene are essential. Hair should be tidy and styled in a way that does not interfere with guest care.
  • Jewelry and makeup should be tasteful and professional. Strong fragrances should be avoided.
  • Tattoos and piercings should not distract from professional appearance.
  • For safety, shoes should have a supportive sole and allow for long hours of standing.

Role-Specific Attire:

Estheticians
  • Black scrubs (top and bottom)
  • Closed-toe shoes required for safety during treatments
Providers (NPs, RNs)
  • Business casual attire (blouse/collared shirt with slacks or professional skirt)
  • White lab coat must be worn during guest-facing interactions
  • Closed-toe professional shoes required
Front Desk
  • Professional, welcoming business casual
  • Dresses, skirts, slacks with blouses/sweaters
  • Professional jumpsuits or tailored outfits
  • Company blazer or branded top (optional)
  • Flats, loafers, or low heels acceptable
Anti-Harassment & Anti-Discrimination Policy

At Aviva Wo/Man, every team member is valued and respected. We believe that a caring, inclusive environment is essential to delivering our mission and 5-Star Service.

Our Commitment:

  • We do not tolerate harassment, discrimination, or intimidation of any kind.
  • Every individual—team member, guest, or visitor—will be treated with dignity and respect.
  • Decisions related to hiring, promotion, compensation, and all other employment matters will never be based on race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, or any other status protected by law.

What Harassment Looks Like:

  • Verbal remarks, jokes, or comments that are offensive or unwelcome
  • Physical conduct such as unwanted touching or gestures
  • Visual displays like inappropriate images, posters, or messages
  • Any behavior that creates an intimidating, hostile, or uncomfortable work environment

Reporting Concerns:

  • Speak up: Bring concerns to your supervisor, office manager, or directly to the owner.
  • Confidentiality matters: All reports are handled with care and sensitivity.
  • No retaliation: You will never face punishment for raising a concern in good faith.

In summary: At Aviva Wo/Man, kindness and respect are not optional—they are the foundation of our team culture and the heart of the Aviva Way™.

Employee Grievance Policy

We believe in open communication, respect, and fairness. We want every team member to feel safe and supported in bringing forward concerns. A grievance is any concern, problem, or complaint an employee has about their work, workplace, or treatment.

Our Commitment:

  • Every employee has the right to raise a concern without fear of retaliation.
  • All grievances will be treated with sensitivity, respect, and confidentiality.
  • We will work to resolve issues fairly, quickly, and consistently.

Steps for Raising a Grievance:

  1. Speak Informally (if comfortable): First try to resolve the issue informally by discussing it with the colleague or supervisor involved. Many issues can be resolved through open conversation.
  2. Submit a Formal Grievance: If the issue is not resolved, submit a grievance in writing to your supervisor, the office manager, or the owner. Include a clear description of the concern, dates, times, people involved, and any steps you’ve already taken.
  3. Review and Investigation: The supervisor or owner will review promptly. You may be asked to meet and provide more details. All parties will be treated with fairness and respect.
  4. Resolution: A decision will be made and communicated in writing. Solutions may include mediation, changes to workplace practices, or other corrective action as needed.

No Retaliation: Retaliation of any kind against an employee who raises a concern in good faith is strictly prohibited and will be treated as a serious violation of policy.

Disciplinary Procedures

Our goal is to create a workplace where every team member can succeed. When expectations aren’t met, we focus first on coaching and support. Discipline is not about punishment—it’s about improvement, accountability, and preserving a respectful, 5-Star Service environment.

Progressive Discipline Steps:

Step 1: Coaching & Verbal Reminder

Most issues can be corrected through an open conversation. A supervisor will meet privately to discuss the concern, clarify expectations, and offer guidance.

Step 2: Written Warning

If the issue continues, a formal written warning outlines the behavior concern, expected improvement, and timeline for review.

Step 3: Final Warning or Suspension

Continued issues may result in a final written warning or suspension. This step clearly states that failure to correct may result in termination.

Step 4: Termination

If behavior or performance does not improve, employment may be ended. Termination decisions are made carefully with fairness in mind.

Immediate Termination: Some behaviors are grounds for skipping steps and moving directly to termination, including:

  • Harassment, discrimination, or violence
  • Theft or dishonesty
  • Serious breach of confidentiality (including HIPAA violations)
  • Willful damage to company property
  • Unsafe actions that put team members or guests at risk

Our Promise: Every step will be handled with professionalism, fairness, and compassion. Employees will always have the opportunity to share their perspective. The goal of discipline is always to restore success—not to punish.

Slow Week Protocol

During weeks with lower appointment volume, Aviva may temporarily adjust schedules. When you are scheduled during a slow week, your time is used intentionally to build the business—every team member is expected to actively support clinic growth, strengthen patient relationships, and generate future appointments.

“If I don’t have a guest, I am helping create the next one.”

What a Slow Week Means
  • Hours may be slightly reduced for the week
  • Adjustments are made as fairly as possible across the team
  • We aim to reduce approximately 4–6 hours per person when needed

Our Commitment to You:

  • Fairness — sharing adjustments across the team
  • Transparency — communicating early whenever possible
  • Stability — making small adjustments now to protect long-term opportunity

If the schedule fills, hours may be added back whenever possible.

Patient Reactivation & Schedule Filling

Team members are expected to focus on patient reactivation as a top priority. The goal is to help fill the schedule for the current week and the following week. This includes contacting patients who:

  • Have missed follow-ups
  • Have not been seen in 3–6 months or longer
  • Started but did not complete treatment plans
  • Had labs completed without scheduling a follow-up

Suggested language: “Hi! This is Aviva checking in—we were reviewing charts and noticed it might be time for a follow-up. We’d love to get you back in and see how you’re doing!”

Focus areas: hormone therapy follow-ups, weight management check-ins, continuation of skin treatment series, and lab reviews.

Also review the schedule for open gaps within the next 1–7 days. Reach out to flexible patients, waitlists (if applicable), and clients due for maintenance. Example: “We had an opening tomorrow—would you like to come in?”

Content Creation

Content creation should be prioritized to support long-term growth. Team members may:

  • Record provider education videos, FAQs, and “day in the life” content
  • Capture before-and-after photos and treatment clips
  • Batch and share content for marketing use
Providers

Education and treatment explanations

Whitney

Journey and clinic experience

Andrea

Skin and treatments

Front Desk

Behind-the-scenes and patient experience

This supports social media, email marketing, and website updates.

Patient Follow-Up & Relationship Building
  • Send follow-up messages: “How are you feeling after your visit?”
  • Check in on new patients within the first 1–2 weeks
  • Respond thoughtfully to reviews and messages

These efforts help increase retention, referrals, and overall patient satisfaction.

Retail & Treatment Planning
  • Build retail bundles (gut health, skin, or hormone support)
  • Review upcoming patients to pre-plan recommendations
  • Organize displays and inventory

These efforts support stronger consults, improved retail conversion, and smoother patient flow.

Training & Administrative Prep

Training Focus:

  • Review The Aviva Way™, the 4 Cornerstones of Wellness, and the 5-Star Service approach
  • Practice consult conversations and product recommendations

Administrative Prep:

  • Clean up charts and review treatment plans
  • Prepare lab paperwork and audit memberships

This work helps reduce stress and inefficiencies during busier weeks.

Provider Expectations During Slow Weeks
  • Check in and check out own patients when needed
  • Escort guests to the front desk (5-star standard)
  • Assist with patient outreach and treatment planning
  • Participate in content creation
Slow Week Expectations Checklist

When scheduled during a slow week, all team members are expected to:

Patient & Schedule
  • Complete patient outreach (calls/texts to fill schedule)
  • Attempt to fill open appointments within the next 1–7 days
  • Follow up with recent or new patients
Clinic Growth
  • Capture content (photos, videos, or education)
  • Support retail organization and treatment planning
Development & Admin
  • Review training (4 Cornerstones + 5-Star Service)
  • Complete admin tasks (charts, labs, memberships)

Hormone Therapy Transitions

This policy provides a clear, consistent structure for hormone therapy billing and transitions. We charge based on timing of care—not the act of switching programs. Guests should never feel they are being charged twice for the same period of care, while ensuring all provider time and clinical services are appropriately billed.

Program Structures
Prescription Management ($99 Monthly)
  • Ongoing provider oversight
  • Prescription management
  • Routine follow-ups
  • Yearly lab coordination
Pellet Therapy (Procedure-Based)
  • Pellet placement procedure
  • Standard follow-up within treatment window
  • Typical cycle: 3–5 months
Transition: Pellets → Prescription Management

Guests transitioning from pellet therapy to prescription management are categorized based on time since last pellet placement.

0–4 Months (Active Transition)
  • Office Visit Fee: Waived
  • Labs: Charged if clinically due
  • $99 Program: Begins following month
  • Considered a continuation of care
5–10 Months (Delayed Follow-Up)
  • Office Visit Fee: $125
  • Labs: Charged if clinically due
  • $99 Program: Begins following month
  • Requires provider reassessment
10+ Months (Restart of Care)
  • Program Initiation Fee: $297
  • Includes first 3 months of care
  • Labs: Charged if clinically due
  • $99 Program: Begins after 3-month period
  • Billing date: 5th or 20th
  • Considered a full restart of care
Transition: Prescription Management → Pellets
Active Membership (Within Billing Cycle)
  • A $99 credit applied toward the pellet placement fee
  • Membership paused at time of pellet placement
  • Prevents double payment for the same period of care
Inactive or Outside Billing Cycle
  • Full pellet placement fee applies
  • No credit applied
  • Membership paused or discontinued at time of pellet placement

Post-Pellet Plan: Guest will remain off membership during pellet cycle. Future care plan will be reassessed at follow-up: return to pellets or transition back to prescription management.

Lab Policy

Labs are ordered and charged based on clinical timing, not program status.

  • Follow-up labs as clinically indicated
  • Yearly comprehensive labs
  • Lab fees are separate from membership and procedure fees
Membership Billing Guidelines
  • Membership billing never begins same-day as visit
  • Billing starts the month following the visit, or after the included care period (restart program)
  • Billing dates: 5th or 20th of the month
Office Visit Fee Summary
Category Time Since Last Treatment Fee
Active Transition 0–4 months $0 (Waived)
Delayed Follow-Up 5–10 months $125
Restart of Care 10+ months $297 (includes 3 months)
Grace & Exceptions Policy

To maintain a high-touch, personalized experience, leadership may:

  • Waive the $125 visit fee in select cases
  • Apply discretionary adjustments when appropriate

All exceptions must be documented in the chart.

Provider Responsibilities

Providers must document:

  • Last treatment date
  • Treatment category (Active / Delayed / Restart)
  • Plan of care and lab timing

Clearly communicate the plan to the front desk before checkout. Set patient expectations during the visit.

Front Desk Responsibilities

Front desk must:

  • Identify last treatment date
  • Apply correct billing category
  • Confirm lab needs
  • Set up correct membership timing
  • Communicate charges clearly and confidently
  • Document all transitions in patient chart
The Aviva Way™ Experience Standard

Every transition should feel:

  • Thoughtful, not transactional
  • Structured, not confusing
  • Supportive, not sales-driven

“We guide our guests through each phase of care with clarity, consistency, and confidence—so they always feel taken care of, never sold to.”

Aviva Wo/Man Shared Policies | Confidential & Proprietary

Training Library

Video tutorials and step-by-step guides to help you master our systems and procedures. All videos are coming soon.

Aesthetics Pro

Aesthetics Pro

Creating a New Patient

How to enter basic info and assign the correct "Pathway" tag.

Aesthetics Pro

The "Initial History" Folder

Showing exactly where to upload BHRT Checklists and Consents.

Aesthetics Pro

Lab Management

How to upload the requisition PDF and final results to the chart.

Aesthetics Pro

Automated Payments

How to set up recurring billing for the $99 membership.

Aesthetics Pro

Canceling a Subscription

Marking a subscription "Inactive" after the form is signed.

Weave

Weave

Review Requests

How to manually send a review request to a happy guest.

Weave

Two-Way Texting

Best practices for confirming appointments via text.

Trello

Trello

The Daily Flow

How the front desk uses Trello to track task completion.

Aviva Wo/Man Training Library | Confidential & Proprietary

Operator

Manager-Only Resources & Protocols

Slow Week Management Protocol

Proactively adjust staffing and hours during low-demand periods while maintaining team fairness, productivity, and growth activity.

1. Activation Criteria

Review the schedule 3–5 days in advance. Consider hour reduction when any of the following apply:

  • Schedule is less than 60% booked
  • There are 2+ hour gaps between appointments
  • Fewer than 2–3 appointments per provider per day

2. Pre-Adjustment Review

Before making any schedule changes, confirm the following:

  • Minimum coverage requirements are met
  • Calculate total hours scheduled
  • Calculate hours needed based on current bookings
  • Calculate excess hours to reduce

3. Hour Reduction Process

  1. Send team message in the group chat notifying of a slow week and asking for volunteer time-off
  2. Collect volunteers — allow 12–24 hours to respond; log all volunteers in Trello
  3. Schedule adjustments — prioritize by appointment volume, flexibility, and rotation fairness
  4. Shift optimization — compress to 4–6 hour shifts, stagger start times, consider on-call-lite for low-volume days

4. Productive Time for Staff On-Site

Staff who remain on-site during slow periods should focus on value-generating activities:

  • Patient reactivation — reach out to lapsed patients
  • Content creation — photos, reels, before/afters
  • Retail & inventory — organize, restock, audit
  • Training — product knowledge, protocols, role shadowing
  • Admin tasks — charting, filing, process improvements

5. Fairness Tracking via Trello

Log every hour-reduction event in Trello to ensure equitable rotation. For each event, record:

  • Team member name
  • Hours reduced
  • Date of reduction

Rotate reductions evenly — no one should take repeated reductions before others have had a turn.

6. Adding Hours Back

If the schedule fills in after reductions are made, restore hours in this priority order:

  1. Volunteers who offered availability
  2. Staff most impacted by the reduction
  3. Staff with confirmed availability

7. Weekly Report to Suzi

Submit a brief summary each week that includes:

  • Total hours reduced and who was affected
  • Patient outreach completed
  • Appointments booked as a result
  • Content or training completed
  • Any concerns or patterns to flag

8. Required Growth Action

Every slow week must include at least one of the following growth initiatives:

  • Patient reactivation push (call/text lapsed patients)
  • Promotion or model call
  • Social media push
  • Email or text campaign

Aviva Wo/Man | Operator Reference | Confidential & Proprietary