Services
Excellent Care Takes Time
Every family’s journey with PANS/PANDAS looks different.
I offer several types of visits and memberships designed to meet you exactly where you are—whether you’re seeking a diagnosis, working toward stabilization, navigating flares, or returning to care.
Care grants may be available in the Pacific NW through the NWPPN
1. Comprehensive
New Patient Evaluation
All new patients start here
Best for:
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Families who are new to PANS/PANDAS care or
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Those needing a thorough evaluation, second opinion, or new PANS doctor
This visit includes:
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60 minute intake and 1 month messaging
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In-depth medical and behavioral history
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Review of prior labs, testing, and treatments
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Clinical assessment for PANS/PANDAS and related conditions
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Initial treatment plan, prescribing, and next steps
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2. Continuing Care Program
Active Care Pathway
Best for:
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Children actively undergoing treatment adjustments
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Regular follow-ups ensure timely adjustments and deliver better outcomes
This plan includes:
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1 visit + asynchronous adjustments monthly
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Scheduled follow-up visits
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Active monitoring of symptom trends and progress
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Medication and supplement adjustments
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This is a 6 month membership
Why a 6-month commitment? Stabilization is a process that typically requires attention and adjustments and unfolds gradually. The 6 months is based on the average time to resolution of children in my practice.
3. Ongoing Support
To maintain stability in the long term
Best for:
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Families whose child is generally stable
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For management of episodic flares or ongoing stable prescriptions
This plan includes:
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3 messages per month
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Discounted single visits if patients' health necessitates
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Guidance on mild-to-moderate flares
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Medication adjustment advice or prescription renewal when appropriate
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Support during transitions or regressions
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Review of school concerns, or sleep/appetite changes
Other Options
We understand that the situation is sometimes "outside the box"
Return to care
/ single consult
For families who previously left the practice and want to re-establish care.
This includes:
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Updated medical and symptom review
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Review of any new testing or treatments
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Revised plan for stabilization or support
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Prescribing as appropriate
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Recommendations for next steps and program fit
Best for: Former patients who need updated guidance and want to resume care.
IVIG
For patients needing IVIG prescription and monitoring
This includes:
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Counseling and care coordination
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Ordering and surrounding labwork
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Working towards insurance approval
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Monitoring symptoms and monthly check-ins
Best for: All patients on IVIG must be on the continuing care plan
Additional fees/
Outside Meetings
For families requesting significant care coordination (e.g. hour-long meetings)
This includes:
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1 hr of meetings and letter writing
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Forms that require a lot of time or have legal implications
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Other non-specified requests
Best for: Single requests that do not fit other categories