Designed for those seeking enhanced optimization, the Performance Track includes everything from the Essentials package plus deeper insights and personalized care. You'll receive expanded lab access (including hormone, inflammation, and nutrient panels), one-on-one physician consultation, and a tailored multimodal performance plan covering training, nutrition, sleep, and supplements. Prescription access is available if clinically appropriate.
Performance Track
Performance Track Bundle includes:
Everything in Essentials
PLUS
One month of extended messaging access with physician
Additional specialized lab panel access* (e.g. hormones, inflammation, nutrient levels)
One virtual physician visit (video or phone) included.
Multimodal plan (training, nutrition, sleep, supplementation)
Prescription access if clinically indicated*
* Lab draw fees still apply and are based on specialized panel ordered. First Rx visit fee waived. Refill visit fees and ongoing follow-up visit fees still apply. Controlled substances not prescribed.
Refund Policy for Telehealth Visits
We understand that circumstances can change. If you need to cancel or reschedule your telehealth visit, please do so at least 24 hours in advance to receive a full refund. Cancellations made less than 24 hours before the scheduled visit are non-refundable, but we are happy to help you reschedule at no additional cost.
If a technical issue or provider-related delay prevents your visit from taking place, you will be offered a full refund or the option to reschedule.
Please note: No refunds will be issued after a completed visit, even if a prescription is not provided, as clinical decisions are based on medical appropriateness and physician judgment.
Requirements for Telehealth Visit via Secure Messaging (Spruce)
To ensure safe and effective care, please review the following requirements before initiating a telehealth visit through Spruce:
Active Membership or Service Payment You must have an active Endurance Health membership or have purchased a one-time telehealth visit.
Spruce Account Setup You must download the Spruce Health app (iOS or Android) or access it via web and create an account using the email or phone number provided at sign-up.
Consent to Telehealth You must review and sign our informed consent for telehealth prior to initiating your visit.
Medical Intake Form Completion A short intake questionnaire must be completed through the Spruce platform prior to the visit to help guide your physician’s care.
Non-Emergency Use Only Messaging visits are for non-urgent medical concerns. If you are experiencing a medical emergency, call 911 or go to your nearest emergency department.
State Residency Requirements Currently we are only servicing patients from the state of Virginia, where our physicians are licensed.
Important Notice
Telehealth consultations through Endurance Health are designed to support your wellness, performance, and preventive health goals. These services are not a replacement for ongoing primary care and do not substitute for in-person evaluation of urgent or emergent medical conditions.
If you are experiencing a medical emergency, please call 911 or go to the nearest emergency department. For chronic disease management, vaccinations, or routine screenings, we recommend maintaining an established relationship with a local primary care provider.