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. 

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. 

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. 

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.

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).

Follow up is expected every 4-12 weeks for all HRT care until the care plan is stable with no further prescriptions or medication updates. During these appointments your medical and surgical history along with the symptom score quiz will be completed and reviewed. Medication and care plan adjustments will be made based on your individual response to prior treatment and current goals. Assessment and labs can be collected based on guidelines.

• These appointments are reserved for women who have been seen by H&H in the last 12 months, but have additional care needs or follow up questions. 
• Topics may include: medication adjustments or follow-up, urinary tract infection, medication adjustments or follow up, STD testing, vaginal odor or itching or dryness/pain, breast changes, other gyn problem topics that require follow up. 
• Referral may be needed, if in doubt, ask your PCP for a referral.

Follow up is expected every 4-12 weeks for all HRT care until the care plan is stable with no further prescriptions or medication updates. During these appointments your medical and surgical history along with the symptom score quiz will be completed and reviewed. Medication and care plan adjustments will be made based on your individual response to prior treatment and current goals. Assessment and labs can be collected based on guidelines.

• This appointment is not appropriate if you are due for labs or an exam to follow up a physical symptom of concern. 
• These appointments are reserved for women who have been seen by H&H in the last 12 months, but have additional care needs or follow up questions. 
• Topics may include: medication adjustments or follow-up, urinary tract infection, medication adjustments or follow up, STD testing, vaginal odor or itching or dryness/pain, breast changes, other gyn problem topics that require follow up. 
• Referral may be needed, if in doubt, ask your PCP for a referral.

This appointment is meant for women seeking care for hormone health during the perimenopause and post menopause years as a new patient. During this appointment family, medical and surgical history will be reviewed with a risk stratification tool to assess candidacy for treatment options. Symptoms will be tracked using a symptom score tool along with your subjective story of each symptom that you hope to address. During this appointment, labs can be ordered/collected, medications and supplements ordered and referrals can be sent for supportive services. Teaching will be completed to align with your goals for care, based on your current phase of life and medical needs. Utilization of risk reduction and health promotion will be based on the 5 pillars of health (food, movement, sleep, stress/social and supplements) curated to your health needs and goals. Appointment to be in person unless you have approval from Sarah prior to scheduling.

• 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, it will be billed as specialist appt, not preventative.