This visit includes a comprehensive health history review, full physical with breast and pelvic exam as indicated, review and collection of labs including blood draw or pap smear if needed as well as health counseling based on current health needs. If you are new to the practice and have a health concern to discuss, we can complete that with this appointment too. 
Topics may include 
Well Womens: contraception and family planning, health screenings health goals, medical care for gyn health care needs.
Peri/menopause: discomforts of perimenopause such as hot flashes, insomnia, mood changes, vaginal dryness, pain with sex, hormone replacement therapies, health screenings health goals.
This service is routine care that most insurances cover. 

This visit includes a comprehensive health history review, full physical with breast and pelvic exam as indicated, review and collection of labs including pap smear if needed as well as health counseling based on current health needs. If you need support with new symptoms, and are established in care, but have not been seen for a year, you will chose this appointment for full review of care needs. ?

Topics may include 
Well Womens: contraception and family planning, health screenings health goals, medical care for gyn health care needs.
Peri/menopause: discomforts of perimenopause such as hot flashes, insomnia, mood changes, vaginal dryness, pain with sex, hormone replacement therapies, health screenings health goals.

These appointments are reserved for women who have been seen 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

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 insruance 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 $120, and follow up appointments are $110, or 3/$300 or 4/$400 when a multi-appointment commitment is made and pre-paid.
4/$400 when pre-paid

This visit is reserved for times where you want further support with a non billable service. These appointments need 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.  

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 virutal opon requst 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).

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).

These appointments are reserved for IUD insertion, follow up care and removal. Must be an enrolled patient an dup to date on your annual exam. 
Care in person only.

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. 

This visit is for women under the age of 18 who want to establish care. It will include a comprehensive review of her medical history, and an exam where appropriate based on care needs. During this visit we can review the menstrual cycle (physical and emotional), sex ed or symptom treatments based on the needs at the time. Referral may be needed, if in doubt, ask your PCP for a referral.

This visit is for established patients who are less than 18 years of age who need follow up care or problem-related care. This may include medication follow up, STD testing, contraception changes, vaginal or hormonal symptom support. Referral may be needed, if in doubt, ask your PCP for a referral.
?This appointment may be available as ?a virtual appointment ?by request.

For patients who want more long term support on topics related to their health. Examples would be support on moods in the menstrual cycle, eating and supplements for health, one on one sex education etc

For patients who want more long term support on topics related to their health. Examples would be support on moods in the menstrual cycle, eating and supplements for health, one on one sex education etc

During these appointments your care is addressed with the lens of mind, body and soul. When we have big 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 changes, new body symptoms, settling into this new life phase and work on boundaries, self care, nutrition and supplement support or other non medical counseling services. 
Virtual or in person 
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.

During these appointments your care is addressed with the lens of mind, body and soul. When we have big 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 changes, new body symptoms, settling into this new life phase and work on boundaries, self care, nutrition and supplement support or other non medical counseling services. 
Virtual or in person 

These appointments are reserved for women who have been seen in the last 12 months, but have additional care need or follow up needs. 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.
Virtual appointments available on request. 

This appointment is for women who need to establish care, but are not due for an annual gyn exam. If you are due for an annual exam, please select that option instead. 
Examples include new patients with plans for care related to postpartum depression/anxiety who are up-to-date on their annual physical exam or for women who want to set up care for a second opinion, or to just become established with Hearts and Hand's with plans for future care needs. 
Virtual care can be arranged with approval, a referral is recommended with your PCP, but not required to set up the care.