Functional Medicine is root cause medicine which means it addresses the underlying CAUSES of disease. It addresses the whole person, not just an isolated set of symptoms. Functional Medicine practitioners spend time with their patients, listening to their detailed medical histories and looking at the interactions among genetic, environmental and lifestyle factors that can influence long-term health and complex chronic disease.
A Nurse Practitioner is a registered nurse (RN) with advanced training in diagnosing and treating illness. Nurse Practitioners prescribe medications, treat illness and administer phyisical exams. In Oregon, their license allows them independent practice and they are primary care providers for many patients.
A Micropractice is a small scale clinic with usually a solo practitioner and no or very few employees in a small space. This is to keep overhead low so that practitioners can take insurance and still spend plenty of time with patients and give everyone the attention they need. This also means that to keep the clinic functioning, appointments are made by the patients themselves on my website and questions are best answered through the patient portal since there is no receptionist. This is better for me and for you! Instead of feeling like you’re in a factory waiting for your number to be called only to be rushed out and your questions not answered, you will have plenty of time to ask your questions and actually be listened to.
I’m a preferred provider with most plans of PacificSource, Regence BCBS, MODA, First Choice Health, Providence, GEHA, & Aetna. I’m out of network with all other insurances at this present time, but I can give you a discount for paying at the time of visit and provide you with a bill to submit to your insurance company for reimbursement. This discount can be given for paying at the time of visit, as the administration and billing company fees are avoided. I would recommend finding out what your Out Of Network coverage is before the visit. It is your responsibility to understand your plan and what is allowable. Some insurances have great out of network coverage.
I do not take Medicare. I’m considered an “Opt Out” provider for Medicare and can not provide a bill for submission for reimbursement per the Medicare guidelines. I can still see you, but you will be responsible for the visit upfront. However, I do give discounts to patients that are paying out of pocket.
A new patient initial visit is typically between 60-75 mins depending on the complexity of your issues. We will go over your detailed health history looking for clues and triggers to what is causing your symptoms and disease. We will also do a head to toe exam so please do not wear nail polish or makeup that might hide physical clues. I will often order blood work and specialty lab testing based on your symptoms. Supplements are usually recommended on the first or second visit to help us get your body back into balance along with a nutrition plan. Please bring your insurance card to the first and every subsequent visit.
That depends on how complex your issues are. For 1 issue you can expect approximately 3-4 visits. For more complex issues it may take 6 or more visits to accomplish our goals. If you are super healthy and taking no medications looking for preventative care, then come in once yearly. If you are healthy and stable, but on medication come in twice yearly.
Please do this as early as possible. We respectfully ask for at least 24hr notice to cancel or change an appointment to avoid fees. There is a $50 charge for missed appointments or appointments canceled less than 24 hrs. I want to see you, but I understand that life happens. I forgive once. The second time, I charge $50 (and expect dark chocolate). The third time, the fee will be charged and we will need to talk and reevaluate what your health goals are and decide if we should move forward.
I strive to utilize technology for everyone’s sanity. Phone tag and messages are cumbersome for everyone. My time is spent being 100% present with my patients in the office. This is where the best care happens. To keep the micropractice a healing space, we ask you to please: Use my website scheduler for requesting your appointment or book with me immediately after your appointment especially if you know you need a follow-up (this avoids that panicky feeling later when you can’t find an appointment). New patients please contact me via email or phone to book.
All prescriptions need monitoring for therapeutic effectiveness and potential side effects. If you don’t have refills left, you most likely need your follow up appointment. Please make an appointment before you run out. This is your responsibility. Refills require time, evaluation and management, so please respect the process. All prescriptions and refills will be given during appointments. You must be seen at least once a year for refills. Vitamin/Supplement refills can be purchased from my Online Store at any time.
In person! Labs provide crucial information about your health. I want my patients informed and to understand what it means and how it contributes to their chief complaint. I use the information to create a treatment plan and want to be able to discuss this in person so your questions are answered. Sometimes this involves new medications or supplements. I don’t want you confused or worried.
Of course! I can send notes as you request and try and collaborate your plan of care.
Yes! I can treat patients via phone consults or telemedicine after I have seen you at least once. As of now these visits are not reimbursable by insurance. You will need to pay for the telemedicine consult upfront. I prefer to see you in person so please come in if you are in town. Please DO NOT expect care through leaving questions on the patient portal or email.