General Questions
How do I schedule an appointment?
- You can schedule an appointment by calling our office (701) 757-1440 or by sending an email to information@fireflymedical.net.
How do I make a new patient chart?
- Follow the “New Patient Chart” Links on our Website. Select the type of patient you seek to be.
How do I change, reschedule, or cancel my appointment?
- To change, reschedule, or cancel an appointment, use your MangoMint phone number or contact our office (701) 757-1440 at least 24-hours in advance. This allows us to accommodate other patients and manage our schedule effectively. Rebooking within 24-hours of an appointment will be subject to our late cancellation and no-show fees detailed in your signed Terms of Service.
How do I ask medical questions?
- Medical questions should be asked using your Atlas.md phone number, connecting you directly to your provider.
Do you take insurance or offer financing options for treatments?
- While we do not take insurance or offer financing, we do offer 12 month treatment packages that are divided into installments to make payment easier. Some esthetic services and adjuvant therapies like IV infusions have special package or membership rates. Please contact our office for more information about pricing.
Can I use my HSA/FSA?
- Yes. We do accept HSA/FSA payments. Note: permissibility is subject to the individual HSA/FSA plan. We do not guarantee their acceptance as most treatments are considered elective, medically unnecessary. As of January 2026, HSA plans cover direct primary care (DPC) services.
Am I able to terminate a Firefly Treatment Package early?
- Yes. Early terminations – after commitment periods – are subject to a cancellation fee or forfeiture of deposit(s).
What should I expect during my first consultation?
- Our team will review your medical history, discuss your health goals, and conduct any necessary examinations. We will review guideline-concordant care treatments and the alternative to develop a personalized treatment plan to your specific needs.
Can I combine multiple services?
- Yes, combining multiple services may be the best way to achieve your desired results. For example, you might combine BHRT with direct primary care or a personalized wellness program such as Health Coaching. Whatever you choose, our team will work with you to create a comprehensive treatment plan. The best part? You may get a discount by combining additional services!
How do I get prescription refills?
- Contact your pharmacy to initiate a refill request. Please allow 2-3 business days for refill requests to be fulfilled. Clients should plan accordingly and allot time for processing of refill requests and/or shipping before they run out of their prescription. Refills are processed during normal business hours.
How do I order supplements?
- Order supplements through our online store, Balanced Dose, with convenient auto-ship options by clicking the Shop button. You can also reach us at (701) 757-1440 or orders@balanceddose.com.
BHRT FAQ
What are bio-identical hormones?
- Bio-identical hormones are hormones that are molecularly identical to the hormones produced by your body. They are derived from natural sources such as plants, and are customized to your specific needs.
Are bio-identical hormones safe?
- When prescribed and monitored by a qualified healthcare provider, bio-identical hormones are generally considered safe. Our providers work with you to determine if this treatment is the right course for you.
- As of March 2025, the FDA removed the black box warning on stroke and heart attack risks from all testosterone products.
- As of November 2025, the FDA has removed most Black Box warnings on menopausal hormone therapies.
Is bio-identical hormone therapy right for me?
- The best way to determine if bio-identical hormone therapy is right for you is to schedule an initial consultation with one of our providers. We will evaluate your hormone levels, discuss symptoms, and develop a personalized treatment plan tailored to your specific needs.
How long does it take to see results from BHRT?
- The time it takes to see results varies depending on the individual and the specific treatment plan. Some patients experience noticeable improvements within a few weeks, while others may take several months. Regardless, the goal is to attain long-lasting, healthful results that keep you feeling like you.
Advanced Esthetics FAQ
What is advanced esthetics?
- Advanced esthetics encompasses a range of cosmetic procedures performed by qualified professionals. These treatments are designed to enhance your appearance with safe, effective, and minimally invasive or non-invasive techniques.
What types of treatments are offered?
- We offer a wide range of advanced esthetic treatments including injectables (such as Xeomin®), Geneo facials, chemical peels, and more. Services are listed on this website.
What qualifications do esthetic professionals have?
- We find many esthetic professionals are undertrained with just a weekend course under the belt, before they are under your skin. We ensure each injector and esthetician has not only the licensure required by law, but additional training in their fields to secure extensive experience in cosmetic procedures. Our team is committed to providing safe, effective, and natural-looking results.
Direct Primary Care (DPC) FAQ
What is DPC?
- A cash-based model that provides personalized, concierge-style primary care with longer visits, direct communication, and simpler, transparent pricing.
Do you take insurance?
- No. DPC does not replace health insurance. Keep coverage for emergencies, specialists, and hospital care.
Is there a commitment?
- Yes. A minimum commitment period applies; early cancellation will include a fee.
How do I contact my provider?
- Members receive direct communication via secure messaging, phone, and telemedicine during clinic hours.
Do you see children?
- Yes. Our providers are happy to care for children and welcome families to our practice.
Adjuvant Therapies FAQ
What is an adjuvant therapy?
- Adjuvant therapies are complementary treatments designed to enhance or support the effectiveness of your treatment. These therapies (including ketamine treatments, IV infusions, and vitamin injections) help optimize health, reinforce recovery, improve overall well-being, and support the body’s natural healing processes. By delivering targeted relief and essential nutrients, adjuvant therapies play a vital role in functional healthcare.
How often should I receive adjuvant therapy?
- The frequency of adjuvant therapy administration depends on your individual needs, health goals, and desire for continued benefit. Our providers will work with you to determine the optimal schedule for your treatments.
What is Ketamine Therapy?
- Ketamine Therapy can be used to treat mental health conditions such as depression and anxiety as well as chronic pain. It is administered under the supervision of an experienced medical provider.
What are the benefits of IV infusions?
- IV infusions deliver essential vitamins, minerals, and antioxidants directly into your bloodstream, bypassing the digestive system for maximum absorption. This can help boost your immune system, increase energy levels, and improve overall health.
Are vitamin shots painful?
- Vitamin shots are generally well-tolerated and cause minimal discomfort. Our skilled medical professionals use gentle techniques to minimize any potential pain.