Services

Case Review

The Case Review is the first step for all new patients. The Case Review process is designed to save money and time in the long-term by performing the appropriate diagnostic testing and evaluation before treatment begins. A cornerstone of our approach is “test, don’t guess.” Identifying the underlying patterns contributing to disease is the key to a successful and lasting outcome.

The Case Review serves several purposes. It enables Chris to more accurately estimate how long your treatment program will last, what it will include and how much it will cost. It gives you the chance to ask any questions you may have about your condition and what you should expect. And it provides an opportunity for us to get to know each other and determine if our clinic is a good fit for you over the long-term.

The Case Review includes:

  • A thorough review of your medical history and relevant previous lab work (10 page limit).
  • A review of your current diet and nutritional supplements.
  • A metabolic and neurotransmitter evaluation.
  • A one-on-one consultation to review your results (55 minutes; in-person or by phone/Skype).
  • A treatment plan including diet, supplements and lifestyle therapies.
  • Recommendations for further testing (if necessary).

The Case Review process is broken into two steps, which are described in more detail below.

Step 1: Initial Consultation

During this 25-minute phone/Skype appointment a Patient Navigator (personally trained by Chris) will interview you to determine which lab tests to order for your Case Review, based on your chief complaints and your history. This appointment has two purposes: to make sure that we have all of the information needed to gain a comprehensive understanding of many of the factors affecting your health, and to give you a head start on your treatment before you meet with us.

The exact lab testing ordered after the Initial Consultation depends on your individual circumstances, but may include:

  • A comprehensive blood chemistry panel. This is the single most efficient, effective and affordable tool for quickly evaluating your health. It screens for a wide range of conditions, including several types of anemia; gut, viral and bacterial infections; insulin resistance and hypoglycemia; liver and kidney issues; and thyroid and adrenal problems. It offers important clues for how to structure and focus your treatment to get the best results. And it provides a baseline of biomarkers that can be used to objectively track the progress of your treatment over time.
  • Additional blood tests for specific conditions, such as high cholesterol, hypothyroidism, autoimmune disease, and gluten sensitivity.
  • Advanced stool testing to screen for parasites, fungal overgrowth, bacterial infections, intestinal inflammation, dysbiosis and a deficiency of beneficial gut bacteria.
  • Urine organic acids testing to screen for small intestinal bacterial overgrowth, fungal overgrowth, problems metabolizing fat or carbohydrate, B-vitamin status, methylation issues, detoxification capacity, oxidative stress, and neurotransmitter metabolism.
  • Saliva or serum hormone testing for adrenal and sex hormone status.

The Patient Navigator will also provide you with the Case Review health history paperwork to complete. It is important that you spend time and energy completing these intake forms, as they are vital in helping us understand your case. This paperwork includes:

  • A detailed health and medical history questionnaire
  • A survey of your chief complaints and most important health goals
  • An assessment of your most troubling and frequently experienced symptoms
  • An evaluation of your metabolic and neurological systems
  • A thorough analysis of your current diet

Finally, the Patient Navigator will provide you with dietary guidelines to follow after your Initial Consultation. These are extracted from Chris’s New York Times Bestseller Your Personal Paleo Code as well as his online programs, and include:

  • Detailed instructions on how to perform a 30-day Paleo elimination diet (i.e. “30 day Reset)
  • Cheatsheets and worksheets to help you implement the 30-day Reset
  • 3 weeks of delicious Paleo recipes to help you get started
  • A diet diary to help you track your progress during the diet program

It is critical that you implement the 30-day Reset diet to the best of your ability. When you speak directly with Chris, your experience with the diet will be as important as any lab findings in guiding the next steps in your care plan.

Once we’ve received your lab results and completed Case Review paperwork, you will move on to Step 2: the Case Review Consultation. This typically occurs between 45 and 60 days after the Initial Consultation, because some of the labs we use take up to 4 weeks to deliver the results to us after receiving your sample. While you wait for your labs to come back, you will be implementing the 30-day Reset diet and making forward progress.

Step 2: Case Review Consultation

Prior to the Case Review Consultation, Chris will review the results from the labs we ordered along with your Case Review paperwork, medical history, diet and supplement survey, assessment forms and relevant prior lab work. He will then create a Report of Findings, which is broken into three parts:

  • A summary of the underlying patterns that are contributing to your symptoms.
  • An outline of the suggested treatment plan, including dietary, supplement and lifestyle recommendations.
  • Recommendations for further testing (this will typically be minimal, if necessary at all, because of the completeness of the Case Review process)

During your 55-minute (in-person, or phone/Skype) Case Review Consultation, Chris will personally present the Report of Findings as well as your treatment plan. Chris will also review all of your test results with you, discuss the results of your 30 day Reset, and answer any questions you have about the findings or the treatment plan.

Once the Case Review is complete, you’ll have follow-up appointments on an as-needed basis throughout the remainder of your treatment plan. (Chris will advise you on the frequency of these follow-ups, based on your progress.)

Case Review Fees

The Case Review is the fastest and most efficient way for Chris to determine the underlying causes of your health problems and design an effective treatment plan. While a Case Review may cost more than a typical initial visit to a physician, it is designed to save you money and time over the long-term by performing the appropriate diagnostic testing and evaluation before treatment begins.

Here is a breakdown of the costs involved in the Case Review, with an outline of when fees are billed so you can plan accordingly.

SUMMARY OF FEES

  • Consultation fee: a single payment of $995. Includes the Initial Consultation, dietary guidelines, Report of Findings, and 55-minute in-person or phone/Skype consultation with Chris.
  • Labs: typically $600–$1,500 depending on complexity of condition and level of diagnostics required.
  • Supplements: typically $150–$300. You will have the opportunity to approve or decline the supplements Chris suggests before you are charged for them (after the Case Review Consultation).

SCHEDULE OF FEES

  • Initial Consultation: after the Initial Consultation, you will be charged for the consultation ($995 as a single payment) as well as the the labs that are ordered ($600–$1,500). Total due after the Initial Consultation: $1,595–$1,995.
  • Case Review Consultation (60 days after the Initial Consultation): After the Case Review Consultation, you’ll be charged for follow-up labs (if necessary; typically $0–$1,000), and supplements (typically $150–$300). Total due after the Case Review Consult: $150–$1,300.

Grand total for Case Review process: roughly $1,750–$3,500

Folloe-up Appointments

Follow-up appointments are either 25 minutes or 50 minutes (either in-person, or via phone or Skype). You may choose to have your follow-ups with Chris when he is available, or you may choose our staff clinician, Amy Nett, whom I trained and directly supervise. (At present, I only offer 25 minute appointments, while Amy offers 25 minute and 50 minute appointments.)

Follow-up Appointment Fees
Chris’s fees for follow-up appointments are $175 for 25 minutes or $350 for 50 minutes.

Amy’s fees for follow-up appointments are $150 for 25 minutes and $300 for 50 minutes.

Ongoing lab and supplement fees vary considerably depending on the patient and treatment plan.