Office visits are by appointment only. Please contact us to schedule an appointment. If you have an acute condition, please call the office and we will schedule you as soon as possible.

If you need to reschedule an appointment, please give the office at least 24 hours notice. This courtesy will allow another patient to be able to see the physician. Missed visits without 24 hours notice will result in a $50 fee. Obviously emergencies happen and exceptions can be made.

Our physicians are committed to quality care and time for their patients. Phone call and email reminders are a courtesy of the office, but if you are unsure of your appointment time, please call the office to confirm.

Annual Wellness Visits

We are honored as your physicians to hold space for you all year round. We are here for any sneeze or sniffles, and truly value this wellness visit as an opportunity to take time and assess your overall health. This visit is extremely important to us and we ask we have this time at least once every two years, ideally every year.

This is the one visit that health insurance companies allow us to completely focus on all of your well care and ensure that we maintain a proactive approach. Services included in a preventative wellness visit: review of medical history, a thorough physical exam, information about how to reduce risk factors that could affect your health, ordering screening tests and immunizations as needed and counseling on overall improvements that could help your health. We may ask for a urinalysis and/or EKG if necessary.

Well woman exams are recognized by insurance companies as a separate preventive visit- honoring the importance of women taking the time to connect with their physician about their unique concerns. This visit as a separate from your wellness physical intentionally. A well woman exam is more than a pap smear and breast exam. This is our time to talk about your overall hormonal and sexual health. We are honored to offer this time for our women.


For the convenience of our patients, we carry some medical grade supplements. To maintain the quality of the product we carry, we cannot accept returns once they have been opened, used or after being off our temperature controlled shelves for more than 30 days. Refrigerated items cannot be returned. Many items can be purchased at a substantial discount through our online Fullscript and Xymogen dispensaries.

Speciality Lab Testing

If your doctor has requested you to do a speciality lab test, we ask that you fill out this HIPPA secure form here.

Why do I have to fill out this form?
Some insurance companies require us to disclose when a lab test is out of network. And we agree. We want you to understand that there may be a cost that your insurance won’t cover.

Can I use an in network lab?
We try very hard to utilize in-network labs whenever possible. Some advanced diagnostic testing is not available through in-network labs.

Can I still try to use my insurance?
You may be able to submit a claim for out of network benefits. Ask your doctor.

Our Promise to You
Any out of network testing we advise in purely to help us understand your health. We do not make any money on any of these out of pocket tests.

In fact, we do our best to negotiate discounted rates for our patients and pass any savings on to you. In some cases, the way we get these savings is by guaranteeing payment to the lab- we may ask that you pay us for the test, instead of the lab directly. Each diagnostic company is different. Your doctor can guide you on this.

Good Faith Estimate (GFE)

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals need to give clients who either do not have insurance or who are not using insurance a “Good Faith Estimate” of expected charges for medical services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.  This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.  However, you must receive a Good Faith Estimate in writing at least 1 business day before your scheduled medical service or item when scheduled three days in advance and at least 3 business days prior to your appointment when scheduled 10 days in advance.   

What you will receive in your GFE:

You will receive a written Good Faith Estimate (GFE) that includes an estimate of services (type of therapy/estimate of frequency) and estimated costs for those services for a 12 month period.  

Integrative Primary care medicine is unique in that it is not possible to predict how your personal therapeutic process will unfold until we get started; there are many factors that contribute to this and every person’s plan is different. The following is information that will help you anticipate and plan the cost.

At times, additional services are requested/required, for example managing medications may require check in visits and/or labwork.  If any new health concerns from a new symptom to a common cold, we are here to support you, but cannot anticipate those events.  All other fees will be noted in the Fee Policy prior to intake.

You have the right to dispute your charges if: 

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate. 

For questions or more information about your right to a Good Faith Estimate, visit or call (800) 368-1019.  You can also call the office to discuss.