General Care – changes to my practice

See July 2018 Update below. 

Wellness and Preventive Care

While I no longer provide pelvic exams, I will continue to provide other preventive care for adults, including obtaining mammograms and colonoscopies. If you come to me and do not have a PCP, even if you are seeing me for specialty care, I will also want to ensure that you are receiving appropriate preventive care. I also work with you to implement strategies to reduce your risk of illnesses such as diabetes and heart disease. I  also ask you to include vaccinations in your preventive health care according to the CDC vaccination schedule, including a yearly immunization against the flu.


For both adults and children, I fully support and recommend immunization according to the CDC schedule. I have reached this conclusion through both my professional training, which included learning about the science behind why vaccinations support health, and through my own experience and observations in dealing with vaccinations over 30+ years of parenting.

If you have questions about vaccines and vaccination, please make an appointment to talk about any concerns you may have. At this time I do not offer vaccines in-office, but will work with you to obtain them elsewhere.


Other than an initial diagnosis of pregnancy, I do not provide prenatal care and do not deliver babies. If you are pregnant, I can continue to provide your general healthcare, and I will refer you for your prenatal care and obstetrical care to another provider.

What is primary care?

July 2018 Update:

As noted above Due to changes in my practice, at this time I am not accepting new patients for primary care.  I am accepting new patients for adjunct naturopathic and integrative care (transgender medicine/gender affirming care, mood disorders, chronic illnesses, etc.) If you are an established patient, I will continue to see you as usual. 

The doctor who is your primary care provider (PCP) is not only the doctor that you “see first” for conditions. For some insurances, your PCP is also the doctor who is responsible for coordinating your overall healthcare, including making many referrals.

As noted, I now ask new patients to have someone else as their primary care provider. I realize that many healthy adults may “get by” with occasional visits to a walk-in care center. However, if you have the following conditions, you will probably need to establish care with an internist or MD/DO/ARNP/PA as your primary care provider:

  • If you require controlled medications (e.g. painkillers, tranquilizers) – note, I do not prescribe those (other than testosterone and codeine).
  • If you have an illness requiring hospitalizations.
  • If you need a social worker or other resources that are best provided by a larger clinic.
  • If you have have several chronic illnesses, numerous medications or rare conditions.
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