Direct Primary Care (DPC) Membership

Your Health. Your History. Your Goals.

Your healthcare journey begins with an in-depth consultation with your personal physician. We take the time to understand your medical history, current health, lifestyle, concerns, and long-term goals.

Your initial consultation includes:

• Personal Medical History: Thorough review of past and current medical conditions, surgeries, hospitalizations, medications, supplements, allergies, and previous treatments.

• Family Health History: Evaluation of hereditary conditions, cardiovascular disease, diabetes, cancer, neurodegenerative disorders, and other familial health risks.

• Lifestyle History: Assessment of nutrition, physical activity, sleep, stress, substance exposure, social connections, and daily habits.

• Preventive Health Review: Evaluation of previous screenings, immunizations, diagnostic studies, and age-appropriate preventive care.

• Health Goals Assessment: Discussion of your personal priorities, symptoms, concerns, and short- and long-term health objectives.

• Individualized Care Planning: Development of a personalized roadmap for ongoing primary care, prevention, and health optimization.

Our philosophy: We take the time to understand the whole person, not simply treat an isolated condition.

Addressing the Root Drivers of Health and Disease

Lifestyle Medicine is a cornerstone of our approach to healthcare.

Our physicians use evidence-based Lifestyle Medicine principles to identify modifiable factors that influence metabolic health, cardiovascular risk, inflammation, hormonal health, physical function, and long-term well-being.

Your consultation includes:

• Nutrition Assessment: Evaluation of dietary patterns, protein and fiber intake, nutrient adequacy, hydration, and metabolic health.

• Physical Activity and Fitness: Review of aerobic activity, resistance training, mobility, balance, strength, and physical limitations.

• Sleep Health: Assessment of sleep duration, quality, circadian rhythm, and possible sleep disorders.

• Stress and Emotional Well-Being: Evaluation of chronic stress, emotional health, coping strategies, and resilience.

• Substance and Environmental Exposures: Review of tobacco, alcohol, medications, and other exposures affecting health.

• Social Connection and Well-Being: Assessment of relationships, social support, purpose, and lifestyle sustainability.

• Biomarker and Biometric Review: Integration of relevant laboratory results, body composition, blood pressure, and other objective health measurements.

Your Personalized Lifestyle Optimization Plan

Based on your assessment, your physician will develop an individualized, realistic plan focused on improving metabolic health, preserving muscle and bone, supporting cardiovascular health, improving energy and physical function, and reducing modifiable disease risks.

Our goal is to turn medical knowledge into practical, sustainable actions that support a longer, healthier life.

Personalized Care That Evolves With You

Your health changes over time. Your healthcare should evolve with it.

Our physicians combine clinical expertise, current medical evidence, individual risk factors, and relevant biomarkers and biometrics to guide personalized care decisions.

Ongoing membership care includes:

• Routine physician follow-up visits, generally every 4–6 months, adjusted to individual medical needs.

• Ongoing evaluation of health goals, symptoms, and treatment response.

• Review and interpretation of clinically indicated laboratory results and diagnostic studies.

• Medication review, management, and adjustment.

• Individualized risk assessment and preventive strategies.

• Monitoring of chronic conditions and cardiometabolic health.

• Coordination of appropriate specialist referrals and diagnostic testing.

• Continuous refinement of your personalized health optimization plan.

Comprehensive Biomarker Assessment

Laboratory testing depending on your medical history, symptoms, risk factors, and clinical indications. Your physician may evaluate routine and more advanced biomarkers based on your health history and health goals.

Biomarker testing is individualized. Not every test is necessary or recommended for every patient. Your physician selects appropriate testing based on evidence, clinical indications, and shared decision-making.

Comprehensive Biometric Assessment

We also evaluate objective physical measurements to better understand your current health and monitor meaningful changes over time. We customize biometric testing based on each person’s needs and health goals: Vital Signs, Body Composition, Bone Density, HealthTracking Personal Devices (device cost not included) to monitor: activity, sleep, heart rate, HRV, Vo2max etc

By tracking meaningful biomarkers and biometrics, we aim to identify changes early, measure progress, and make informed adjustments to your care.

Prevention Today. Better Health Tomorrow.

Your membership includes a comprehensive annual physical examination focused on identifying health risks, evaluating organ-system health, and supporting long-term wellness.

Your annual preventive visit includes:

• Comprehensive medical history update

• Head-to-toe physical examination tailored to your health needs

• Blood pressure and cardiovascular risk evaluation

• Hormonal health review and optimization plan

• Medication and supplement review

• Review of age-appropriate cancer screenings

• Immunization assessment and recommendations

• Preventive screening for metabolic, endocrine, and other relevant conditions

• Mental health and cognitive health screening when appropriate

• Fall risk, mobility, and functional assessment when indicated

• 12-lead Electrocardiogram (EKG) included at no extra cost

• Body Composition Analysis (one yearly test included at no extra cost); small fee for any additional tests

• Personalized preventive health recommendations

Comprehensive Metabolic and Nutritional Laboratory Evaluation

Your physician will recommend an individualized set of biomarkers, laboratory evaluation based on your medical history, age, symptoms, and risk factors.

Laboratory processing fees are billed to your insurance, subject to your plan's coverage, medical necessity requirements, and applicable patient cost-sharing. Laboratory testing and external diagnostic services are not included in the membership fee.

Expert Medical Care for Complex and Ongoing Health Conditions

Our physicians provide ongoing management of a broad range of chronic medical conditions, emphasizing evidence-informed treatment, prevention of complications, medication optimization, and quality of life.

Cardiovascular Health

• Hyperlipidemia and dyslipidemia

• Hypetension

• Coronary artery disease

• Peripheral arterial disease

• Cardiovascular risk assessment and prevention

Endocrine and Metabolic Health

• Type 2 diabetes mellitus

• Prediabetes

• Obesity and weight-related metabolic disorders

• Insulin resistance

• Metabolic syndrome

• Hypothyroidism (e.g. Hashimoto disease) and Hyperthyroidism (e.g Grave’s disease)

• Osteopenia and osteoporosis

• Vitamin and mineral deficiencies

• Menopausal metabolic changes

• Hormone health optimization for men and women

Respiratory Health

• Asthma

• Chronic obstructive pulmonary disease (COPD)

• Allergic rhinitis

• Chronic respiratory symptoms

• Obstructive sleep apnea management and coordination of care

Gastrointestinal and Liver Health

• Gastroesophageal reflux disease (GERD)

• Irritable bowel syndrome (IBS)

• Chronic constipation and functional bowel disorders

• Metabolic dysfunction-associated steatotic liver disease (MASLD)

• Gallbladder-related conditions

• Stable inflammatory bowel disease, in collaboration with gastroenterology

• Nutritional and digestive health concerns

Kidney and Urinary Health

• Stable chronic kidney disease

• Recurrent urinary tract infections

• Kidney stone prevention

• Urinary incontinence

• Overactive bladder

• Benign prostatic hyperplasia

Hematologic Health

• Iron deficiency and selected anemias

• Vitamin B12 and folate deficiency

• Selected stable blood count abnormalities

• Long-term monitoring of hematologic conditions in collaboration with specialists

Rheumatologic and Musculoskeletal Health

• Osteoarthritis

• Chronic joint pain

• Chronic back and neck pain (We do NOT routinely prescribe narcotics for chronic pain)

• Tendinopathies and repetitive-use injuries

• Fibromyalgia

• Gout

• Osteoporosis and fracture risk

• Stable inflammatory rheumatologic conditions in collaboration with specialists

Neurological Health

• Migraine and recurrent headaches

• Peripheral neuropathy

• Selected dizziness and balance disorders

• Restless legs syndrome

• Stable neurological conditions requiring primary care coordination

• Cognitive health assessment and dementia risk reduction

Women's Health

• Perimenopause and menopause treatment. Bioidentical FDA approved hormone therapy prescribed if deemed medically necessary. Medication cost is covered by most insurances based on individual plan coverage.

• Menopausal symptoms and genitourinary syndrome of menopause

• Polycystic ovary syndrome (PCOS); Polyendocrine Metabolic Ovarian Syndrome (PMOS)

• Menstrual irregularities

• Premenstrual symptoms

• Bone and cardiovascular health during hormonal transitions

• Preventive women's health and breast cancer risk assessment

Men's Health

• Testosterone deficiency evaluation. Bioidentical FDA approved medications prescribed as deemed medically necessary. Medication cost is covered by most insurances based on individual plan coverage.

• Erectile dysfunction

• Benign prostatic hyperplasia

• Metabolic and cardiovascular health

• Age-related changes in body composition

• Preventive men's health

Dermatologic Health

• Acne

• Eczema and atopic dermatitis

• Psoriasis

• Rosacea

• Common skin infections

• Chronic inflammatory skin conditions

Mental and Behavioral Health

• Anxiety disorders

• Depression

• Chronic stress and burnout

• Insomnia and sleep disturbances

• Stable attention-deficit/hyperactivity disorder (ADHD)

• Stable post-traumatic stress disorder (PTSD), with appropriate specialty collaboration

Allergy and Immune Health

• Seasonal and environmental allergies

• Chronic urticaria

• Selected immune-related symptoms

• Mast cell activation syndrome (MCAS), when appropriately diagnosed and in collaboration with specialists

• Stable autoimmune conditions requiring coordinated care

Our approach: We manage chronic disease while also addressing modifiable risk factors, preserving function, and helping patients improve their overall health.

Some complex conditions require ongoing collaboration with specialists. DPC membership does not replace medically necessary specialty care.

A Proactive Approach to Cardiovascular Prevention

Cardiovascular health is central to a longer, healthier life.

Our ongoing primary care services include personalized cardiovascular risk evaluation, prevention, and management.

Same-Day or Next-Day Appointments

Getting sick should not mean waiting weeks to see your physician.

Our DPC membership prioritizes same-day or next-day appointments for acute, non- emergency medical concerns, subject to clinical urgency and appointment availability.

Whenever appropriate, you receive care from the physician who already knows your medical history.

Common Acute Conditions We Evaluate and Treat

Respiratory and Ear, Nose & Throat

• Common cold and upper respiratory infections

• Influenza-like illness

• COVID-19 and other viral infections

• Sore throat and suspected strep throat

• Sinus infections

• Ear pain and ear infections

• Acute cough and bronchitis

• Asthma exacerbations

Gastrointestinal

• Nausea and vomiting

• Diarrhea

• Constipation

• Acid reflux flare-ups

• Acute abdominal discomfort

• Suspected foodborne illness

• Dehydration when appropriate for outpatient management

Urinary and Reproductive Health

• Urinary tract infections

• Urinary frequency and discomfort

• Vaginal yeast infections

• Vaginal irritation and discharge

• Selected menstrual and genitourinary concerns

Musculoskeletal

• Acute back or neck pain

• Muscle strains

• Minor sprains

• Joint pain and inflammation

• Tendon-related pain

• Minor sports-related injuries

• Non-emergency overuse injuries

Skin and Soft Tissue

• Rashes and allergic skin reactions

• Insect bites and stings

• Minor skin infections

• Cellulitis when appropriate for outpatient treatment

• Eczema and psoriasis flare-ups

• Minor burns

• Superficial cuts and abrasions

General Medical Concerns

• Headaches and migraine flare-ups

• Dizziness

• Fatigue

• Medication side effects

• Mild allergic symptoms

• Blood pressure concerns without emergency symptoms

• Non-emergency changes in chronic medical conditions

• New symptoms requiring timely physician evaluation

Our physicians determine whether an acute condition can be safely managed in the office or requires urgent care, emergency evaluation, imaging, or specialist treatment.

Direct Communication With Your Care Team

Membership also includes access to a private communication channel for appropriate outpatient primary care questions, medication concerns, follow-up instructions, and care coordination.

Messages are addressed according to clinical urgency and practice communication policies. This service is not continuously monitored and is not intended for emergencies. DPC membership covers ongoing outpatient primary care services and does not replace the need to use urgent care or emergency room as deemed clinically appropriate.

One Physician. A Long-Term Partnership.

A key benefit of Direct Primary Care is the opportunity to build a meaningful, ongoing relationship with your personal physician.

Your membership includes:

• Ongoing care with your designated physician

• Medication reconciliation and prescription management

• Prescription renewals when clinically appropriate

• Review of potential medication interactions and side effects

• Adjustment of treatment plans based on symptoms and objective results

• Review of outside specialist recommendations

• Coordination of referrals and diagnostic studies

• Follow-up after hospitalizations or specialist visits

• Guidance in navigating complex healthcare decisions

• Shared decision-making based on your values and preferences

We believe continuity, trust, and communication are essential components of effective medical care.

As a Rochester HealthSpan Medicine DPC member, you also receive:

• Priority access to appointments for eligible non-membership services.

• 20% membership discount on eligible non-member services, including specialty wellness and optimization programs, diagnostic services, and office-based procedures, subject to applicable pricing policies.

• A personalized, ongoing relationship with your physician.

• Greater continuity and accessibility than traditional high-volume primary care models.