Consultation for patients who are interested in starting a weight loss program. 
The consultation includes a review of your personal and family history along with a discussion of possible options to help you meet your desired goals.
Program start can be added for an additional cost. 

Consultation via a video appointment. 
Additional charge applied once services are required. 

Services are not included 
Review of health history 

Evaluations for acute concerns such as colds, flu, sinus infections, skin rashes etc

Oscar Health and Memorial Health Network Patients will only be required to pay a copay upon booking this appointment. All other patients will be required to pre-pay the cost of the visit $175 in order for the appointment to be officially confirmed. 

 Breast Exam and pelvic examination

Routine annual examination: 
Comprehensive review of your history
Physical Examination with Routine Vital Signs
Cervical cancer screening
HPV testing 
Contraceptive Management

Evaluation for sexually transmitted infections. This include the consultation, physical examination. Lab Testing is separately billed

This includes the consultation, physical examination. Lab tests for bacterial vaginosis, yeast infections, and trichomonas will be at an additional cost (if needed). STD testing would be at an additional charge if needed. 

This can be done via a virtual platform for the initial visit. However, prior to prescribing medications, an in-person visit is required for vital signs. 

Consultation is for the insertion of the product and 6 week follow up. This cost does not include the device (Mirena, Kyleena, Skyla or Paragard. Devices can be ordered by my office and patients may use their insurance to purchase the device through our approved distributor. 
A pregnancy test will be done prior to IUD placement if you are not on your menstrual cycle. There is an additional cost for the pregnancy test.

Cost of the removal of IUD product and consultation

Includes:
Full physical exam.
Free B-complex (energy boosting) injection or Skinny (weight loss) shot 

Please note - Pt will need to carry their own clearance form from potential employer

Excellent option for the first time parent who needs assistance with putting their preference list together. 1 support person allowed during this visit. Perfect for Telehealth
Additional fee of 100.00 applies for a PDF copy of a customized plan. 

Consultation for HRT
No Medications Included
Lab testing is an additional cost

This includes the cost of the Pellets along with the placement.
The initial consultation is at a separate cost to this procedure. 
Labs are at an additional cost for this service. 
Service recommended every 3 months

NAD+ ( Nicotinamide adenine dinucleotide)
Improves health and well-being
Has anti-aging properties which helps to slow down degenerative changes
Improves your energy levels and reaction times
Improved mental clarity and cognition
Helps to get rid of brain fog. 
3 hour infusion

Perfect for the cold, flu and rsv season. 

Includes Magnesium Chloride, Calcium Chloride, Methylcobalamin, B Complex, Ascorbic Acid

Zofran added for management of nausea and vomiting
B6 may also be added for the management of nausea and vomiting. 
Both are at an additional cost.

Great for dysmenorrhea/menstrual cramps, migraine headaches, general aches and pains

Promoting beauty from within. Get your inner and outer glow back with our Fabulosity drip

Perfect for the management of nausea and vomiting. Safe for pregnant women 

Useful for nausea and vomiting

High Dose Pellets of 2000 mg or greater

Facility Fee/ Consultation Fee $175.00
Men's Health Labs: $250.00

This visit includes a consultation with a history and physical examination. 
Additional Testing Options include:
Pap Smear, breast exam with review: $350.00
Women's Health Lab Panel: $650.00
Lab Draw Fee: $ 30.00
Lab Review Fee: $50.00

Consultation for HRT done in the office 
No Medications Included
Lab testing is an additional cost

Travel certificate provided within 30 minutes

Rapid test results are usually generated within 30 minutes. 

Pre-IVF fat infusions (Patient must bring own infusion) 
Prescription copy needed on file
Full payment due upon booking to finalize the appointment. 

For patients who have been seen within the last 3 years and have had an initial consultation as a primary care patient. Patients seen for consultations for other services will still need to have a new patient consultation at $175.

Consultation for patients who are interested in starting a weight loss program. 
The consultation includes a review of your personal and family history along with a discussion of possible options to help you meet your desired goals.
Program start can be added for an additional cost. 

IV Iron Infusion takes approximately 60-90 minutes in office. 
A prescription/referral from your clinician is required, along with your most recent lab values. 

Includes rescheduling of missed appointments or changing appointments

45 minute visit

Sermorelin 500 mcg x 30 
Lipotrim spray x 30d supply
LDN 30 tablets 

Prior to initiating any peptide therapy, we will have a brief 20 minute review of your history, allergies, current medications to identify any potential for adverse reactions. This visit is mandatory. No therapy will be prescribed without a consultation.

Lipo-B shots only

An annual physical examination in primary care is a comprehensive check-up that helps assess overall health, screen for potential medical issues, and establish or continue a relationship with your healthcare provider. It often includes the following components:
1. Medical History Review

• Current concerns or symptoms
• Past medical history (illnesses, surgeries, hospitalizations)
• Family history of chronic diseases (e.g., heart disease, cancer, diabetes)
• Medication and supplement use
• Allergies
• Vaccination status
• Lifestyle habits: diet, exercise, alcohol, tobacco, drug use, sexual health
• Mental health screening (anxiety, depression, stress)

2. Vital Signs

• Blood pressure
• Heart rate (pulse)
• Respiratory rate
• Temperature
• Oxygen saturation (if indicated)
• Height, weight, and BMI calculation

3. Physical Examination

• Head and neck: ears, nose, throat, lymph nodes, thyroid
• Heart and lungs: listening for murmurs, irregular rhythms, or abnormal breath sounds
• Abdomen: palpation for tenderness, masses, organ size
• Skin: moles, rashes, or lesions
• Neurological: reflexes, balance, coordination (if indicated)
• Musculoskeletal: joints, strength, posture
• Breast and pelvic exam (if appropriate and consented, for women)
• Prostate or genital exam (if appropriate and consented, for men)

4. Preventive Screenings and Counseling

• Cholesterol, blood sugar, and blood count (via labs)
• Cancer screenings (e.g., Pap smear, mammogram, colonoscopy, prostate exam, depending on age and risk)
• STI screening
• Depression, substance use, and domestic violence screening
• Vaccinations (flu, Tdap, shingles, pneumonia, COVID-19, HPV, etc.)
• Lifestyle counseling: nutrition, exercise, smoking cessation, sleep, stress

5. Lab Work & Imaging (based on age, sex, and risk factors)

• CBC, CMP, lipid panel, A1C
• TSH (thyroid function)
• Vitamin D, B12
• Urinalysis
• EKG (in adults with cardiovascular risk)
• Chest X-ray, DEXA scan, or others if indicated

6. Follow-Up Plan

• Review results
• Discuss diagnoses or concerns
• Referrals to specialists (if needed)
• Set health goals and timelines for follow-up

An annual physical is a foundational element of preventive care, helping to catch conditions early, promote wellness, and build a personalized health roadmap based on your goals and risk profile.

An annual physical examination in primary care is a comprehensive check-up that helps assess overall health, screen for potential medical issues, and establish or continue a relationship with your healthcare provider. It often includes the following components:
1. Medical History Review

• Current concerns or symptoms
• Past medical history (illnesses, surgeries, hospitalizations)
• Family history of chronic diseases (e.g., heart disease, cancer, diabetes)
• Medication and supplement use
• Allergies
• Vaccination status
• Lifestyle habits: diet, exercise, alcohol, tobacco, drug use, sexual health
• Mental health screening (anxiety, depression, stress)

2. Vital Signs

• Blood pressure
• Heart rate (pulse)
• Respiratory rate
• Temperature
• Oxygen saturation (if indicated)
• Height, weight, and BMI calculation

3. Physical Examination

• Head and neck: ears, nose, throat, lymph nodes, thyroid
• Heart and lungs: listening for murmurs, irregular rhythms, or abnormal breath sounds
• Abdomen: palpation for tenderness, masses, organ size
• Skin: moles, rashes, or lesions
• Neurological: reflexes, balance, coordination (if indicated)
• Musculoskeletal: joints, strength, posture
• Breast and pelvic exam (if appropriate and consented, for women)
• Prostate or genital exam (if appropriate and consented, for men)

4. Preventive Screenings and Counseling

• Cholesterol, blood sugar, and blood count (via labs)
• Cancer screenings (e.g., Pap smear, mammogram, colonoscopy, prostate exam, depending on age and risk)
• STI screening
• Depression, substance use, and domestic violence screening
• Vaccinations (flu, Tdap, shingles, pneumonia, COVID-19, HPV, etc.)
• Lifestyle counseling: nutrition, exercise, smoking cessation, sleep, stress

5. Lab Work & Imaging (based on age, sex, and risk factors)

• CBC, CMP, lipid panel, A1C
• TSH (thyroid function)
• Vitamin D, B12
• Urinalysis
• EKG (in adults with cardiovascular risk)
• Chest X-ray, DEXA scan, or others if indicated

6. Follow-Up Plan

• Review results
• Discuss diagnoses or concerns
• Referrals to specialists (if needed)
• Set health goals and timelines for follow-up

Una evaluación física anual en medicina primaria es un chequeo completo que ayuda a evaluar la salud general, detectar posibles problemas médicos y establecer o mantener una relación con el proveedor de atención médica. Generalmente incluye los siguientes componentes:
1. Revisión del Historial Médico

• Síntomas o preocupaciones actuales
• Historial médico previo (enfermedades, cirugías, hospitalizaciones)
• Historial familiar de enfermedades crónicas (ej. enfermedades del corazón, cáncer, diabetes)
• Uso de medicamentos y suplementos
• Alergias
• Estado de vacunación
• Hábitos de vida: alimentación, ejercicio, consumo de alcohol, tabaco, drogas, salud sexual
• Evaluación de salud mental (ansiedad, depresión, estrés)

2. Signos Vitales

• Presión arterial
• Frecuencia cardíaca (pulso)
• Frecuencia respiratoria
• Temperatura corporal
• Saturación de oxígeno (si es necesario)
• Estatura, peso y cálculo del IMC (Índice de Masa Corporal)

3. Examen Físico

• Cabeza y cuello: oídos, nariz, garganta, ganglios linfáticos, tiroides
• Corazón y pulmones: se escucha en busca de soplos, ritmos irregulares o sonidos respiratorios anormales
• Abdomen: se palpa para detectar sensibilidad, masas o tamaño de órganos
• Piel: se examinan lunares, erupciones o lesiones
• Sistema neurológico: reflejos, equilibrio, coordinación (si se indica)
• Sistema musculoesquelético: articulaciones, fuerza, postura
• Examen de mamas y pélvico (si es apropiado y con consentimiento, en mujeres)
• Examen prostático o genital (si es apropiado y con consentimiento, en hombres)

4. Evaluaciones Preventivas y Consejería

• Colesterol, azúcar en sangre, y hemograma (a través de análisis de laboratorio)
• Detección de cáncer (ej. Papanicolaou, mamografía, colonoscopía, examen de próstata según edad y riesgo)
• Pruebas de ETS (Enfermedades de Transmisión Sexual)
• Detección de depresión, uso de sustancias y violencia doméstica
• Vacunas (gripe, Tdap, herpes zóster, neumonía, COVID-19, VPH, etc.)
• Consejería sobre estilo de vida: nutrición, ejercicio, dejar de fumar, sueño, manejo del estrés

5. Laboratorios e Imágenes (según edad, sexo y factores de riesgo)

• Hemograma completo, perfil metabólico, lípidos, A1C (glucosa promedio)
• TSH (función tiroidea)
• Vitamina D, B12
• Análisis de orina
• Electrocardiograma (EKG) (en adultos con riesgo cardiovascular)
• Radiografía de tórax, densitometría ósea u otros si se indican

6. Plan de Seguimiento

• Revisión de resultados
• Discusión de diagnósticos o inquietudes
• Referencias a especialistas (si es necesario)
• Establecimiento de metas de salud y cronograma de seguimiento

What’s Included:

• Medical history review: Menstrual cycle, sexual activity, pregnancy history, family history, lifestyle habits
• Vital signs: Blood pressure, weight, BMI
• Breast exam: Palpation to check for lumps or abnormalities
• Pelvic exam:
  • External genital exam
  • Internal speculum exam to visualize cervix and vagina
  • Bimanual exam to assess uterus and ovaries
• Pap smear (if due): Screening for cervical cancer
• STD testing (if needed): Chlamydia, gonorrhea, HIV, syphilis, trichomonas, HPV, herpes
• Contraceptive counseling: Birth control options, risks/benefits, personalized plan
• Immunizations: HPV vaccine, flu shot, Tdap, etc.

What is a Pap Smear?
A Pap smear is a procedure that collects cells from the cervix to check for abnormal changes that may indicate cervical cancer or precancerous conditions. It is recommended:

• Every 3 years starting at age 21
• Or every 5 years with HPV testing after age 30

Contraceptive Options Discussed:

• Hormonal methods: Pills, patch, vaginal ring, injection (Depo)
• Long-acting: IUDs (hormonal or copper), implant (Nexplanon)
• Barrier methods: Condoms, diaphragm
• Emergency contraception
• Fertility awareness/natural planning
• Permanent options: Tubal ligation, vasectomy (partner)

STD Testing Options:

• Urine or vaginal swab: Chlamydia, gonorrhea
• Blood test: HIV, syphilis, hepatitis B/C, herpes (if needed)
• Pap + HPV test: Detects high-risk HPV types associated with cervical cancer

¿Qué incluye?

• Revisión del historial médico: Ciclo menstrual, actividad sexual, historial de embarazos, antecedentes familiares, hábitos de vida
• Signos vitales: Presión arterial, peso, IMC
• Examen de senos: Palpación para detectar bultos o anomalías
• Examen pélvico:
  • Examen de genitales externos
  • Examen con espéculo para visualizar el cuello uterino y la vagina
  • Examen bimanual para evaluar útero y ovarios
• Papanicolaou (si corresponde): Detección de cáncer cervical
• Pruebas de ETS (si es necesario): Clamidia, gonorrea, VIH, sífilis, tricomoniasis, VPH, herpes
• Consejería sobre anticonceptivos: Opciones de planificación familiar, riesgos/beneficios, plan personalizado
• Vacunas: Vacuna contra el VPH, gripe, Tdap, etc.

¿Qué es una prueba de Papanicolaou?
La prueba de Papanicolaou (Pap smear) es un procedimiento que recolecta células del cuello uterino para detectar cambios anormales que puedan indicar cáncer cervical o condiciones precancerosas. Se recomienda:

• Cada 3 años a partir de los 21 años
• O cada 5 años junto con prueba de VPH a partir de los 30 años

Opciones de anticonceptivos que se discuten:

• Métodos hormonales: Pastillas, parche, anillo vaginal, inyecciones (Depo)
• Larga duración: DIUs (hormonales o de cobre), implante (Nexplanon)
• Métodos de barrera: Condones, diafragma
• Anticoncepción de emergencia
• Métodos naturales/de planificación de fertilidad
• Métodos permanentes: Ligadura de trompas, vasectomía (de la pareja)

Opciones de pruebas para ETS:

• Orina o exudado vaginal: Clamidia, gonorrea
• Análisis de sangre: VIH, sífilis, hepatitis B/C, herpes (si se indica)
• Pap + prueba de VPH: Detecta tipos de VPH de alto riesgo asociados con cáncer cervical

Routine follow up to ensure compliance, and tolerability of the treatment plan.
Modifications of the plan may be completed with these visits.

This 1 hour appointment is focused on reviewing all the biomarkers collected, discuss the implications of the results, and develop a treatment plan based on the results.

A typical functional medicine consultation is a comprehensive and patient-centered experience designed to uncover the root causes of health concerns rather than simply addressing symptoms. During this extended visit—often lasting 60 to 90 minutes—we will take a deep dive into the patient's medical history, lifestyle, nutrition, genetics, environmental exposures, and emotional well-being. The goal is to identify patterns and imbalances that contribute to chronic illness or suboptimal health.

Lab testing may be recommended to further evaluate biomarkers of inflammation, hormones, gut health, toxins, and more. Together, the patient and provider co-create a personalized, evidence-based treatment plan that may include dietary changes, targeted supplements, stress management techniques, and lifestyle interventions to restore balance and optimize long-term wellness.