We do not directly bill insurance, as our practice operates on a direct-pay model to allow for more comprehensive, personalized care.

We do accept HSA and FSA payments and can provide superbills for eligible services. Coverage varies by insurance provider and individual plan, and reimbursement is not guaranteed. We recommend contacting your insurance company directly to verify your benefits.

We also offer payment plans for certain services to help make care more accessible.

In most cases, no.

Comprehensive functional hormone care does not require an in-person physical exam and can be safely — and often more conveniently — delivered via secure telemedicine.

You’ll have consistent communication with your provider through our secure patient portal, easy scheduling options, and structured follow-up to ensure you feel supported throughout your care.

We proudly serve women throughout Washington and Oregon via telemedicine.

At this time, we are licensed to provide medical care only in Washington and Oregon.

We hope to expand into additional states in the future, but currently cannot provide medical services outside those states.

Yes — when clinically appropriate.

We prescribe evidence-based hormone therapies, including thyroid medication, estrogen, progesterone, and testosterone when indicated. We may also incorporate other standard medical treatments as part of a comprehensive plan.

Our approach focuses on identifying and addressing root causes of symptoms while integrating hormone therapy and conventional medical treatment within a functional, holistic framework.

All recommendations are made in collaboration with you. We thoroughly review risks, benefits, and alternatives so you can make informed decisions about your health.

We walk alongside you in this process — we are not here to dictate what you should or should not do.

This collaborative, patient-centered approach — combined with finally feeling heard and understood — is what our patients consistently value most about their care.

GLP-1 medications can be part of a comprehensive medical weight management strategy when clinically appropriate.

Our philosophy is rooted in identifying what is happening beneath the surface — including insulin resistance, hormonal shifts, stress physiology, and metabolic health. When medication is indicated, it is used thoughtfully and as part of a broader, personalized plan that includes nutrition, strength training, and lifestyle change.

GLP-1 therapies may help improve insulin sensitivity, reduce sugar cravings, decrease excessive hunger signaling, and quiet obsessive food thoughts — supporting meaningful changes in body composition and metabolic health.

These medications are prescribed only after careful evaluation of risks, benefits, and individual health factors.

We are not a primary care clinic.

Primary care screening and preventive guidelines typically require in-person evaluations, and our practice is structured as a hormone and metabolic specialty clinic.

We work alongside your primary care provider to offer deeper insight into hormone health, metabolic optimization, and functional medicine strategies — complementing, not replacing, your general medical care.

The best place to start is with a Brief Initial Consult. During this visit, we’ll review your symptoms, goals, and health history to determine the most appropriate path forward.

You don’t need to have everything figured out before reaching out — that’s what we’re here for.