Hearts and Hands Women's Care, LLC

9 Vose Farm Road, Suite 100 Peterborough NH 03458
603-801-9485

Step 1 Of 3

Note: All New Patient Appointments are in-person only.
Virtual appointments by request for follow up or return problem visits. Just email me after setting up the appoint so I can update the appointment on my calendar. 
For full price list, please email [email protected], most care will be based on insurance allowance.
Cash pay at the time of services is reduced by 25%.

I curranty accept NH Medicaid and am in network with Anthem Blue Cross Blue Shield, Tufts, United, Aetna, Tricare/VA plans, Harvard Pilgrim, and CIGNA. I try to keep up with most NH Market Place plans as well (they are tricky as the change ALL the time).
As of 2025, I no longer accept Medicare. I am sorry about this limitation.  I can offer none covered Medicare services at a cash pay rate only. 
Medicaid appointments are limited to 2 per year, then billing will be cash pay/counseling.
 

Establish Care Appointment: Annual Gynecological Care 60 Min
This is for new patients or for women who have not been seen in >3 years. During this appointment there will be a comprehensive review of your family, medical and surgical history with exploration of current symptoms of concern. During this appointment, labs can be ordered/collected, medications and supplements ordered and referrals can be sent for supportive services. If you are due for a physical exam, that can be completed per guidelines. Teaching will be completed to align with your goals for care, based on your current phase of life. Utilization of risk reduction and health promotion will be based on teaching related to the 5 pillars of health (food, movement, sleep, stress/social and supplements) curated to your health needs and goals. Appointment must be in person.
  • If you have had a gyn exam in the last 12 months with another provider, but want to transfer care to H&H, you can select this appointment, but it will be billed as specialist appt, not preventative.  
  • This service is routine care that most insurances cover. 
  • This appointment requires in person care. 
Annual exam: Return patient 60 Min
This is for women who have been seen at H&H before, and are due for annual gyn exam, updated referrals, labs and prescriptions. Women who are due for their annual perimenopause/menopause care appt can also use this appointment type. Family, medical and surgical history will be reviewed. During this appointment, labs can be ordered/collected, medications and supplements ordered and referrals can be sent for supportive services. If you are due for a physical exam, that can be completed per guidelines. Teaching will be completed to align with your goals for care, based on your current phase of life. Utilization of risk reduction and health promotion will be based on teaching related to the 5 pillars of health (food, movement, sleep, stress/social and supplements) curated to your health needs and goals. Appointment is in person only.
  • Make sure it has been at least 1 year since your prior appt for billing purposes.
  • This is typically covered fully with most insurances. 
Follow up Care: Women's Health problem visit 30 Min
These appointments are reserved for women who have been seen at H&H in the last 12 months, but have additional care needs or follow-up needs. 
Topics may include: urinary tract infection, medication adjustments or follow up, STD testing, vaginal odor or itching, breast changes, mastitis, other gyn problem topics that require follow-up. Referral may be needed. If in doubt, ask your PCP for a referral.
Appointments may be available as virtual upon request
Women's Health: Coaching- In-Person 60 Min
During these appointments your care is addressed with the lens of mind, body and soul. When we have life transitions, one can't shift without others shifting around you, either expectations of your own, parts of your own life, or boundaries and structures for those around you to meet you where you are in your journey. I will be your mirror and sounding board, this will be a space for ideas, inspiration and accountability. 
These visits are reserved for times where you want further support with care that may be outside of the a non insurance billable service (cause you know, insurance does not cover these types of holistic life care needs). 
Your initial appointment needs pre-approval with Sarah prior to booking. 
These visits may include follow up care for symptoms of concern, work on learning about moods and symptoms in the menstrual cycle, work on boundaries, self care, nutrition and supplement support or other non medical counseling services. 
The initial appointment is $125, and follow up appointments are $110, or 3/$300 or 4/$400 when a multi-appointment commitment is made and pre-paid.


Women's Health: Coaching- Virtual 60 Min
During these appointments your care is addressed with the lens of mind, body and soul. When we have life transitions, one can't shift without others shifting around you, either expectations of your own, parts of your own life, or boundaries and structures for those around you to meet you where you are in your journey. I will be your mirror and sounding board, this will be a space for ideas, inspiration and accountability. 
These visits are reserved for times where you want further support with care that may be outside of the a non insurance billable service (cause you know, insurance does not cover these types of holistic life care needs). 
Your initial appointment needs pre-approval with Sarah prior to booking. 
These visits may include follow up care for symptoms of concern, work on learning about moods and symptoms in the menstrual cycle, work on boundaries, self care, nutrition and supplement support or other non medical counseling services. 
The initial appointment is $125, and follow up appointments are $110, or 3/$300 or 4/$400 when a multi-appointment commitment is made and pre-paid.
Pre conception Counseling: New Patient 30 Min
Thinking about pregnancy? This visit is an opportunity to review health history and medical concerns related to planning your pregnancy. Topics may include fertility awareness, readiness for pregnancy, and genetic risks, supplements and lifestyle adjustments for a healthy you. We can also review birth care options in the region such as hospital, birth center vs home birth providers. 

Contraception Counselling 30 Min
All things contraception! 
During this visit we will review the full spectrum of contraception options from fertility charting/natural family planning, to hormonal options such as the pill, patch or ring or hormonal and non hormonal IUDs and implants. We can order IUD devices during this appointment to insert at a follow up appointment based on insurance coverage.
In Office or virtual upon request for return patients 
This appointment is if you are not due for an annual exam, but want to discuss contraception.
Pregnancy Support - In-Person 60 Min
While H&H no longer provides birth related care, you may choose to use consultation like services for your pregnancy. During these appointments you will have a basic assessment with fetal heat tone checks, maternal vitals, review birth location options, birth plans, pregnancy and birth advocacy support, review of newborn care services and as needed labs (such as confirmation of pregnancy support or genetic testing with Quest).
IUD care - insertion, follow up, removal 30 Min
These appointments are reserved for IUD insertion, follow up care and removal. Must be an established patient and up to date on your annual exam. 
Care in person only. If you want a consultation for ordering your IUD, please use either the Annual Exam appt, Establish Care appt or contraception counseling appt.
SneakPeek - Gender Test 15 Min
Gender reveal blood draw - This test can be collected as early as 8-9 weeks, ideally once the pregnancy has been confirmed by ultrasound or doppler. The sample is mailed the day of the blood draw (for appt prior to 3pm), and results will be posted the following day. Using a small sample of mom’s blood, SneakPeek tests for the presence of male DNA (Y-chromosomes). If no Y-chromosomes are found, mom is carrying a girl.

There is no requirement to be a client of mine for this test. 
Feel free to email if you need a sooner appt then is listed, I can often fit in last minute appt: [email protected]
https://www.heartsandhandsnh.com/service-women-health/gender-test/

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[email protected]