Vital Rejuvenation
Verified listingAbout Vital Rejuvenation
What is Vital Rejuvenation?
Vital Rejuvenation is a functional medicine practice at 1801 West Bay Drive NW, Suite 208A, in Olympia, Washington. The clinic describes its approach as looking at the whole person, including lifestyle and stress, before recommending a course of action. Its services are Holistic Medicine, Diet & Lifestyle, Bioidentical Hormone Therapy, Nutritional Supplements, and Medical Testing, so hormone therapy is one part of a wider functional medicine practice.
The physician is Patricia Sylwester, MD, listed as physician and owner. She graduated from Vanderbilt University School of Medicine and has been practicing in the Olympia area since 1986, caring for patients in Olympia, Tumwater and Lacey. Before opening Vital Rejuvenation, she owned Pacific Walk-In Clinic for ten years. The hormone medications the clinic names are progesterone, testosterone, DHEA, adrenal hormones and thyroid hormone. The clinic calls its bioidentical hormone therapy individualized and plant based. The office is open Monday, Tuesday, Thursday and Friday from 9am to 3pm, and the phone number is (360) 870-8616. Its Google listing shows a 4.8 rating from 11 reviews.
What does it cost?
It does not publish prices or a consultation fee. The practice is cash pay only. Dr. Sylwester is out-of-network with all insurance companies, including Medicare, and the office does not bill insurers. In its own words: "We DO NOT bill your insurance but will give you a form you can submit to your insurance company for reimbursement if you have coverage." The clinic also says many patients get partial reimbursement for their visits, but that depends on your own plan, so check your out-of-network benefits before you book. The clinic does not mention financing, HSA payment or membership plans.
What should you ask before you book?
The clinic is at full capacity and takes new patients only through its waitlist, which asks for a name, email and phone number. Ask how long the wait is and whether a spot is likely soon.
Ask whether the monthly or visit fee includes any hormone medication, and if so, which ones. Ask whether the medication is brand-name or compounded, and who pays for it if it is not in the fee. Ask what the first visit costs and what follow-up visits and lab work cost, since the clinic does not say whether hormone visits or labs are priced or covered. Ask whether visits can be done by telehealth, because the clinic does not say. Finally, ask whether there is any contract or membership and how you would cancel.
Who is it a good fit for?
This is a good fit if you want a physician-led functional medicine practice, you can pay cash and file your own insurance claim, and you are willing to join the waitlist and wait for an opening. If you need the office to bill your insurer or need care right away, ask about those points before you commit.
Sources: wellnessolympia.com, wellnessolympia.com/bioidentical-hormone-therapy, wellnessolympia.com/about
Services Offered
What we confirmed
Read off Vital Rejuvenation’s own website on 2026-10-15. These are their words, not ours.
- ✓Hormone therapy — listed on their site as “Bioidentical Hormone Therapy” source
We have not yet collected published prices or prescriber credentials for this clinic. When we do, they will appear here with a link to the page they came from — or a note saying the clinic publishes none, which is itself worth knowing. Call them for a price in the meantime.