About Us
Evergreen TRT: Backed by a Family-Owned Practice Since 2005
Affordable and privacy-conscious, we provide virtual testosterone replacement therapy for adults 18 and older in Maryland and Pennsylvania.

Our Story
Evergreen Adult Medicine opened in Thurmont, Maryland, in 2005. The practice was co-founded by Talbot Smith, MD, and it is still family-owned today. Dr. Smith leads the clinical team and sees patients himself, and several of our staff members have been with us for 9 to 20 years.
For more than 20 years, we’ve provided primary care, hormone therapy, and testosterone treatment to patients in Frederick County and the surrounding area. Evergreen TRT brings that care into a fully virtual program: appointments are online, and no office visit is required. Once prescribed, medication is shipped straight to your home. You work with the same providers our local patients have seen for two decades.
Our Mission and Approach to Care
Our mission is to make testosterone replacement therapy simple, affordable, and accessible.
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Medical review first
Every treatment decision is reviewed by a licensed provider.
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Simplicity
A straightforward process with no unnecessary steps.
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Affordability
Competitive self-pay rates, with payment plans available.
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Privacy
Virtual visits and discreet home delivery.
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Long-term relationships
Ongoing follow-up with the same provider team.
Meet Your Provider
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Talbot Smith, MD
Co-Founder | Board Certified in Family Medicine
Dr. Smith co-founded Evergreen Adult Medicine in 2005 and has led its clinical team ever since. He is board certified in family medicine and continues to see patients directly.
Our Services
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Testosterone Replacement Therapy
Virtual TRT with provider review, ongoing follow-up, and medication.
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Family Medicine & Physicals
Primary care and annual physicals for adults and seniors.
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Weight Management
Provider-guided weight management programs.
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Suboxone Program
Medically supervised Suboxone treatment.
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Same-Day Appointments
Same-day and next-day visits.
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Telehealth
Virtual visits from home for many types of care.
Who We Serve
Evergreen TRT serves adults 18 and older in Maryland and Pennsylvania. Our roots are in Frederick County, and we care for patients throughout the region, including Thurmont, Frederick, Emmitsburg, Walkersville, Smithsburg, and nearby Pennsylvania communities. Because visits are virtual, you can start the program from home with the confidence that everything is confidential.
- Thurmont
- Frederick
- Emmitsburg
- Walkersville
- Smithsburg
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Nearby
Pennsylvania
Why Patients Choose Evergreen
Many of our patients have been with us for years. They see the same providers, know our staff by name, and get answers from people who know their history.
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Fast scheduling
Same-day and next-day appointments are often available.
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Competitive self-pay rates
Payment plans available.
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Fully virtual
No office visit required.
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20+ years of experience
Family-owned and independent since 2005.
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Privacy
We’re committed to keeping your information confidential.
Recognition and Affiliations
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2015 – 2024
Adams County “Pick of the County” winner
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2025
Frederick County “Pick of the County” winner
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Member
MedChi, The Maryland State Medical Society
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Member
Pennsylvania Medical Society (PAMED)
What Our Patients Say
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“I can't say enough about the staff in getting registered. Just plain easy. I've been seen twice and feel like I'm right at home with the practitioners. I highly recommend.”
Mark R.
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“My family and I have been going to Dr. Talbot Smith for about 15 years. He has always been there for us. He is extremely intelligent in the medical field... We would recommend him to anyone.”
Joseph Z.
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“I found everyone at the clinic to be helpful and efficient, as well as welcoming. This was my first visit, and I am happy to return.
Nick T.
Common Questions
Do I need to come into the office?
No. Evergreen TRT appointments are fully virtual, and medication is shipped directly to you when prescribed. Your provider will explain any lab work needed and how to complete it.
How do I know if TRT is right for me?
Every patient has a medical review with one of our licensed providers before any treatment decision is made. If TRT isn’t the right fit, your provider will talk through other options with you.
Is there a minimum commitment?
Yes. Evergreen TRT is structured as a 6-month program, which your provider will walk you through before you enroll.
Ready to Get Started?
Schedule a virtual appointment online or call our team at 1-877-341-1231. We’ll walk you through what happens next.