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.
I try to keep consult prices as low as possible to provide access to for everyone while not compromising the quality of care. Pricing transparency is also something that is very important and therefore I list consult fees below.
Care grants may be available in the Pacific NW through the NWPPN
1. Comprehensive
New Patient Evaluation
A thorough evaluation to understand your child’s story and begin building a treatment plan.
All new patients start here.
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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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
2. Continuing Care Program
Most children require several months of consistent, structured care to regain stability. This plan guides families through that treatment phase with clear goals and regular follow-up.
This plan includes:
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1 visit + 3 messages/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
Best for:
Children actively undergoing treatment and working toward stable daily functioning. The predictable follow-ups ensure progress tracking, timely adjustments, and delivers a better outcome
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.
$350
3. Ongoing Support
This membership provides structured, asynchronous (message-based) access to guidance for families managing flares or setbacks to maintain stability in the long term.
This plan includes:
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3 messages per month + Discounted single visits if patients' health necessitates this
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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 symptom logs, school concerns, or sleep/appetite changes
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This is a 6 month membership
Best for:
Families whose child is generally stable but still experiences episodic flares or needs steady support or access to expert advice.
$150
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