**MASSAGE TYPES OFFERED**
• Medical massage/Deep tissue massage
• Myofascial release
• Lymphatic drainage
• Arvigo abdominal therapy (specifically for abdominal, pelvic, hip, thigh, low back tightness)
• No need to specify which type you’d like during scheduling, you may just tell me at visit time. All modalities may be incorporated.

**ENERGY-BASED SERVICES**
• Reiki energy work
• Somatic healing

*All modalities will be available within the same service booking (may also be incorporated at the same time)*

**SERVICES PROVIDED**
• Includes an abbreviated history/symptom review and physical exam for ONE self-limiting and temporary health issue. Treatment includes holistic and/or medical symptom management. Necessary labs outsourced to Quest Diagnostics if necessary (labs to be paid for by patient).

**WHEN TO SCHEDULE THIS TYPE OF VISIT**
• Seeking treatment/symptom management for simple problems, mild infections, illnesses, exacerbations (see conditions below)
• Ages: Adults and children age 12 and over (and girls of any age that have begun menstrual cycle)
• If you ONLY need a school note and do not require treatment, see “Sick Note” visit type

**CONDITIONS THAT CAN BE TREATED**
• Upper respiratory infections
• Sinusitis
• Bronchitis (non-emergent)
• Mild COPD exacerbation
• PMS/menstrual cycle management
• Initiation of birth control
• Skin conditions (such as poison ivy, infected hair follicle, etc.). No STD testing available.
• Rashes and skin concerns
• Inflammatory conditions appropriate for short-term medical management (i.e. gout, bursitis, osteoarthritis flares).
*For a more effective treatment with no side-effects for inflammatory conditions, consider a SoftWave Therapy session– this treatment provides reduction in inflammation and pain, increases blood flow, and activates stem cells! Also, initial SoftWave treatment is only $25!*

**CONDITIONS THAT CANNOT BE TREATED**
• Injuries
• Acute pain
• Multiple issues
• Chronic issues that have not been addressed, diagnosed or managed
• High Fever
• Significant fatigue/lethargy
• Mental status changes/Confusion
• Shortness of breath
• Chest tightness/pressure/pain
• These symptoms indicate need for a higher level of care (ER or Urgent Care)

**TREATMENTS MAY INCLUDE**
• Holistic, naturopathic, and symptomatic remedies
• Medications when appropriate

**WHAT YOU GET**
You'll get a sick note for school or work! No treatment provided with this visit type (if treatment is required, please schedule a Problem-Focused Visit). For this visit, simply fill out the questionnaire that will be emailed to you. NP will review the form and email you the note sometime in the next business day.

**WHEN TO USE THIS SERVICE**
A sick note visit is for when you have a bug that you expect will pass, or something going on that makes it difficult for you to function at work or school (i.e. non-threatening viral illness, PMS, migraine in a patient that is known to get migraines, etc).
Sick note guaranteed to cover ONE day (the day you send in your questionnaire - Sorry, we are unable to backdate notes). Second sick day may be approved if requested and if symptoms do not prompt a recommendation for an in-person evaluation. (Limit to this service: 2 days per month per patient. More may prompt a need for in-person evaluation).

**SERVICE PROVIDED**
Root-cause investigation of confusing or chronic health issues, including an in-depth review of history and symptoms and development of personalized, multifactorial, and holistic treatment plan.

**WHY SCHEDULE AN INTEGRATIVE HEALTH CONSULTATION**
What many people don’t realize, is that the bulk of a diagnosis is based on the oral history that a patient gives; and THAT is largely based on the ability of the practitioner to have the time and ask the right questions. A true health history takes TIME, (which has long been overlooked by the medical system, as it usually allows only 10 – 15 minutes per patient visit). This means that the symptoms, history, and full picture fall through the cracks, leaving the provider in the dark and the patient frustrated. What I’ve discovered through my practice is that the longer the visit, the more likely you are to get a good picture of a client’s symptoms and an idea of what might be the problem. That's why we set aside a 90 minute initial session to discuss more complicated health issues. Follow-ups are most often recommended.

**HOLISTIC CARE/TREATMENT PLAN**
Health is multifactorial, so treatment should be as well. Plan/treatment may include lifestyle, dietary/supplements, or behavioral changes. Herbs, supplements, or prescriptions may be ordered. Lab evaluation if necessary. In some cases, medications may need adjusted, stopped, or started, in which case I will collaborate with your Primary Care Provider (PCP) to ensure continuity of care. It is important to recognize that psychosomatic/emotional trauma can be held stubbornly in the body, resulting in health issues, pain, anxiety, depression, and fatigue. Emotional trapping may be discussed during your visit if you are open to it.