Prescribed Service · $125

Therapeutic Phlebotomy at Home

When your physician orders therapeutic phlebotomy, having it done at home removes the trip, the waiting room, and much of the stress. A certified phlebotomist comes to you and performs the procedure exactly as your provider ordered.

What it is

Therapeutic phlebotomy is the prescribed removal of a specified volume of blood, ordered by a physician as part of a treatment plan. Unlike a diagnostic blood draw, its purpose is the removal itself rather than laboratory testing. Because it is a treatment, it is always performed to a physician’s written order that specifies the volume to be removed and how often the procedure should be repeated. Expedient Phlebotomy Services performs therapeutic phlebotomy in the comfort of your home and follows your ordering provider’s orders precisely. We do not diagnose conditions or change your plan of care — we carry out what your physician has prescribed.

Therapeutic phlebotomy is sometimes called “blood dumping.” Whatever it’s called, it is a prescribed procedure — we perform it only on your provider’s written order.

Who orders it

Therapeutic phlebotomy is for people whose physician has ordered it as part of their care. Your physician may order therapeutic phlebotomy for conditions such as iron overload or hemochromatosis, or for an elevated red blood cell count — but only your physician can determine whether it is appropriate for you and set the volume and schedule. If you have a standing order and would rather receive your treatments at home instead of traveling to a clinic, this service is designed for you. Please share your order details when you book so we can confirm we can safely accommodate them.

The three most common reasons a provider orders it:

• Hereditary hemochromatosis — an inherited condition in which the body absorbs and stores more iron than it needs. A physician managing it may order therapeutic phlebotomy as part of the treatment plan and decides how it is scheduled.
• Polycythemia vera — a bone-marrow disorder in which the body makes too many red blood cells. It is usually managed by a hematologist, who may order therapeutic phlebotomy as one part of care.
• Erythrocytosis during testosterone therapy — testosterone therapy can raise the red blood cell count. Some prescribing providers respond by ordering therapeutic phlebotomy; others change the treatment instead. Which approach fits is your provider’s decision, not ours.

We don’t assess whether you need the procedure. If you have an order for it, we can bring it to you.

What we need from you

A written order or requisition from your provider is required for every visit. It needs to name you, identify the ordering provider and how to reach their office, and state the procedure along with the volume to be removed and how often it is to be repeated. We follow the order exactly as written — we never adjust the volume or the schedule ourselves. If something on the order is missing or unclear, we won’t begin until it’s resolved with your provider. You can send the order ahead of time through our secure paperwork upload, or have it ready when we arrive.

What a visit looks like

1. Arrival. We arrive at the time we scheduled with you, at your home or another place we agreed on. Your phlebotomist will confirm your identity and carefully review your physician’s order, including the prescribed volume, before beginning.
2. Setup. We set up a clean work area next to a chair or bed where you can sit or recline, using single-use sterile supplies opened in front of you.
3. The draw. We’ll get you comfortable and seated, check that you’re doing well, and perform the procedure at an unhurried pace while monitoring how you feel throughout. If anything about how you feel gives us pause, we stop and follow the appropriate steps.
4. Aftercare. Because a therapeutic draw removes more blood than a standard collection, we take extra time afterward to make sure you’re steady before we leave and we’ll review any aftercare instructions your provider included.
5. Disposal. Needles go straight into a sharps container that leaves with us, and the collected blood is sealed and taken away for disposal as medical waste. Nothing from the procedure stays in your home.

How to prepare

• Have your physician’s order or prescription ready — it must specify the volume and frequency, and we cannot proceed without it.
• Eat a normal meal beforehand unless your provider told you otherwise.
• Drink plenty of water in the hours before your appointment — good hydration is especially important for a therapeutic draw.
• Wear short sleeves or sleeves that roll up easily, and plan to rest afterward.
• Have a photo ID available so we can confirm your identity.

We never promise any particular medical result, but we do promise a careful, unhurried visit performed to your physician’s orders. Our goal is a comfortable, professional experience every time.

For clinics

TRT, men’s health and functional medicine practices often have patients with standing orders for therapeutic phlebotomy. We can see those patients at home, or come to your office for a scheduled block and work through several of them in one visit. Your provider writes the order; we perform each draw exactly as it is written. See our services for providers for scheduling, recurring routes and invoicing.

Pricing

Therapeutic phlebotomy is $125 per visit. Travel, after-hours, and location surcharges may apply and are always disclosed before we arrive. After-hours and weekend visits add a $35.00 surcharge (anything outside 7:30 AM–4:30 PM, Monday–Friday).