Welcome to my practice

Leaky gut junctions
My focus is evaluating and treating children and teenagers with chronic health conditions, and providing  personalized preventative care.
Welcome to my practice!  

I am a physician, board-certified in pediatrics, and integrative and holistic medicine. This is a consultative pediatric integrative medicine practice, where I function as a solo practitioner working at the Santa Cruz Integrative Medicine clinic.  

My focus is evaluating and treating children and teenagers with chronic health conditions, and providing personalized preventative care. Some of the chronic concerns that have been found to be responsive to an integrative approach to management include chronic abdominal pain, diarrhea, constipation, headaches, fatigue, brain fog, insomnia, chronic musculoskeletal pain; recurrent ear and sinus infections, eczema, allergies, asthma, stress, mood disorders, behavioral concerns, as well as autoimmune conditions such as arthritis and diabetes. 


Because this is a consultative practice, I am unable to be your child's primary care doctor and require all patients have a primary care provider for routine care including physical examinations, vaccinations, school forms, acute medical issues, and after-hours or on-call medical concerns in the event of an urgent need or emergency. 


Please also be aware that my practice will be closed to new patients for May and June of 2021. Please visit the "Contact" page and follow instructions for adding your name to waiting list if you are interested in your child becoming a future patient. 
What to expect at the initial visit:

The first visit begins before we actually meet. I review your child's Health Journey Questionnaire and Medical Symptoms Questionnaire (available through the portal) that you will have filled out before our visit so I can be better prepared to address your needs. 


Our initial visit together will last one hour and in this time I will obtain a comprehensive medial history, including a review of current symptoms and lifestyle factors. To get to the root cause of ongoing health problems, each patient is treated as an individual in order to learn of specific factors affecting health and well being. This entails a detailed conversation about your child's current state of health, health history, family history, diet, sleep, habits, response to stress, etc. Any physical exam that is indicated will be performed. 

I will then discuss potential approaches and possibly recommend dietary modifications and laboratory work up.  More specific advise will be deferred until after lab results are in and there has been time to thoughtfully consider your child's case.


Second visit:

The second visit is generally scheduled a few weeks later, once enough time has gone by for laboratory tests to be resulted. This visit generally lasts 30 minutes and it is at this time I will discuss the review of findings. This includes a detailed discussion of what may be contributing to your child's ongoing health issues, as well as any further dietary and lifestyle modifications and possible supplements (vitamins, minerals, herbs, etc) that may be appropriate for your child's care. 


Follow up visits:

Follow up visits are usually scheduled in approximately 6-8 weeks from this visit to evaluate progress and make any adjustments to the plan. 

Further visits are then scheduled based on ongoing progress and why your child is being treated. 



If for any reason your scheduled appointment date and/or time no longer works for you, please cancel and/or reschedule on line as soon as you are able. This allows for other patients and their families to be seen. Per clinic policy, at least 24 hours cancellation notice is required to avoid the visit charge. 

Pre-visit homework:

In order for me to prepare for our initial visit, I will need to receive your child's completed Health Journey Questionnaire and Medical Symptoms Questionnaire (via the patient portal) at least a few days before our initial appointment.  You will find these forms via the patient portal when you register your child as a patient.


Post-visit communication:

It is essential that you set up an online email account in my Patient Portal after you register as a patient. Communication between visits will be electronic rather than by phone. This way, I can keep an electronic record of our communication, which will become part of your child's chart.  

Please note that email communication is reserved for brief messages pertaining to issues arising from our visit.  A follow up in person visit or phone consultation (see below) will be recommended for any complex concern or new medical issue.


Please do not send any acute or urgent questions to me as this is a consultative practice. Any acute or urgent medical issues should be addressed by your child's primary care provider. 


I make every effort to respond to online messages as quickly as possible. Please do allow for up to three business days for a reply. 

I am happy to talk to your primary care provider and to facilitate referral to other specialists if needed.


My practice is a fee-for-service consultation practice so I do no accept any form of medical insurance.  I do provide my patients an itemized bill with traditional medical ICD-10 and CPT codes at the conclusion of each visit. Patients can then file a claim to seek reimbursement directly from their insurers.  

You may contact your medical insurance provider to ask about reimbursement prior to scheduling an appointment.  I am considered an out-of-network provider. The CPT code for all new patients scheduled for a 60 minute visit is 99205. I am happy to provide additional insurance codes to all registered patients in my Patient Portal.

Payment is due in full at time of the appointment. Payment forms accepted are cash, check and credit card. A credit card number is required to schedule first patient visits.


New Fees as of January 1, 2020:

New Patient Visit (60 min): $400

Established Patient Visit (60 min): $350

Established Patient Visit (45 min): $263

Established Patient Visit (30 min): $175

Established Patient Visit (15 min): $88

Patient low income, new or established (60 min): $300

Patient low income, new or established (45 min): $225

Patient low income, new or established (30 min): $150

Patient low income, new or established (15 min): $75

Phone Consultations:  

All visits for new patients to this practice are done in person. Follow up visits for established patients may be done by telephone depending on the nature of your child's health issues. 

Telephone visits are charged at the same rate as in person visits though you are not able to file a claim with your insurance carrier.  


Laboratory Fees: 

All conventional laboratory tests I recommend are generally covered by a patient's medical insurance. Specialty testing from laboratories such as  Genova and U.S. BioTek  have none to some coverage depending on the lab's arrangement with medical insurance companies. I provide my patients with specific lab fee information for any specialty labs that are considered. 

Services NOT rendered:

Chelation Therapy

Intravenous (IV) Vitamin Therapy

Medication Management and Refills of Narcotics, Stimulants