We Sincerely Thank You for your Interest in FoundationMED
If you decide to consult with our Physician we ask that you fill out an extensive questionnaire concerning your diet, lifestyle and medical history. Our Physician will review this questionnaire in great detail before meeting with you, and begins to construct your visit note.
At the initial visit we ask that you allow 2 hours to be in our office. Direct time with our Physician is between 1 to 1.5 hours. Even though that seems like a long time, it can be surprising how fast it can go!
During this initial visit, our Physician will get more detailed information from you, directly address your questions, concerns, and expectations, and give you an overview of what is recommended for you - even as they discuss in detail their thoughts about your underlying physiology and medical condition(s). In addition, we ask that you bring any pertinent laboratory data or prior medical or surgical history data (from other consultations) for review and discussion.
Within a week after your visit (or less), you will receive an email notification via our electronic medical record system stating that the “encounter” plan is ready. You will access this plan via the patient portal portion of the electronic medical record system. We highly recommend that you download each Encounter Note (i.e. Visit Note) and PRINT OUT your own copy.
This plan will include quite a bit of detail concerning your visit, including a review of findings and the therapeutic approaches addressing each of those findings, specific diet and lifestyle recommendations (including book and website recommendations), testing and supplement recommendations, prescriptions, a review of laboratory data, a patient “ToDo” section that serves as a direct communication from our Physician to you concerning a given “encounter”, identified areas of clinical concern, identified items being considered, as well as recommended information for you to read/review presented as PDF’s. In addition, our Physician may consult with appropriate colleagues as needed. All of this information is reviewed and updated with each visit and is available for you to review and print out.
We work with many different labs including Quest Diagnostics & LabCorp (as well as specialty labs such as Cyrex, Genova, Doctors Data, and others). Some of the labs we work with accept insurance and some require payment up front.
Our Physician discusses any laboratory test recommendations with you, and we give you all available cost information regarding any testing. The final decision concerning labs is up to you ultimately. We do not want any “stress” when it comes to laboratory services and costs and will work as best as possible with whatever data we have available. Unlike most other clinics, we do not up-charge on our lab services (this can really add up) and do NOT pepper you with extraneous fees. We try to make it as easy and low cost as possible. We DO NOT accept insurance. Because the nature of this practice is highly individualized and patient-time intensive, our model is not compatible with insurance and the significant operational costs that are involved in insurance billing. We have found, however, that frequently anywhere from 50% to 100% of the visit cost is reimbursed back to you from the insurance company or applied to the deductible. In addition, many patients use FLEX spending accounts to cover visit costs.
The cost of the initial visit (with our Physician) is $495 (payment of cash or credit card is required at the time of your appointment). You will be in consultation with our Physician for up to 1.5h directly. Your history and current situation will be completely reviewed and discussed. Our Physician will consult as needed for particular situations. A rather thorough Encounter Note (Visit Note) will be generated for your study and review, complete with your personalized health plan - all accessible from the Patient Portal. Typically our Physician spends 2 or more hours outside of the patient visit preparing and consulting/researching any given patient (including pre-visit preparation, post visit analysis/visit note creation and consultation and research).
Followup visits (with our Physician personally) are $275 and run from 45min to 60min. Your test results (if any) will be reviewed in detail, and your current situation discussed. An updated Encounter Note will then be posted complete with an updated assessment and plan - all accessible from the Patient Portal. We also offer extended followup appointment times to allow for more detailed discussion and laboratory evaluation.
We highly recommend that you download and print out the Visit Note (MINI Encounter Note) due to the amount of information contained within. This is specifically found as a PDF in the Documents Section of your personal Patient Portal on the web.
With your initial visit, you will then be given the opportunity to speak with our Patient Coordinator/Health Coach (at no additional charge). As our clinical approach is rather detailed and comprehensive, this visit serves to outline the basics of our approach. Our Health Coach stands as a resource for you to utilize as needed as you continue your journey to better health and wellbeing.
We also offer, and highly recommend, the services of our CertifiedHealthCoach. Health Coach visits serve to assist our patients with proper implementation of the treatment plan. As the Physician plan can be quite comprehensive, we have seen that our patients have found Health Coach visits to be extremely helpful. Reading a treatment plan is one thing, fully implementing it is something else. Having a Health Coach partner working with you to guide implementation is a very positive way to achieve success, both by serving as a resource to both help break the therapeutic plan into "do-able" chunks and to work with your Physician regarding that plan to ensure success.
Your success depends on both being fully engaged in the therapeutic process as well as fully implementing the Physician recommendations. Health Coach visits fill a vital role in making that happen. The cost of the initial health coach visit is $100 for 1 hour and subsequent 50 minute appointments are $85.
We are pleased to be able to provide the lowest fees in the Raleigh/Durham/Chapel Hill area for comparable services - and work hard to keep it that way. We do not charge for other services that many other offices do charge for (i.e. email contact, phone contact, letter writing, chart review, etc). We are striving to provide intense functional medical care at an affordable price - without excessive "accessory" fees or mandatory subscriptions for services. You will never feel compelled to purchase supplements or products from us - we do not feel it is appropriate to sell supplements directly from our office.
If you are NOT on Medicare, we can give you a receipt that you can use to file with your insurance. Our Physicians are not participating medicare providers and so you cannot submit for reimbursement from medicare for their services. They are similarly not Medicaid participating providers.
If you need any additional information please do not hesitate to contact us.
We have been fully booked for several months but are still accepting patients. We keep a cancellation list, although at this time it is difficult for us to predict when we will have availability. We do find that there is some flexibility as patients reschedule their appointments from time to time.
Please let us know if you have an absolute preference for either Dr. Citron or Dr. Sachar so we can schedule you accordingly. If you do not have a preference, we will schedule you to the earliest available appointment for either Dr. Citron or Dr. Sachar.
If you wish to be put on the cancellation list (without registering in the patient portal or completing the questionnaire) we will be happy to do that. Email us your name, telephone number and state that you wish to be placed on the cancellation list.
We are pleased to add an advanced InBody Body Composition Analysis for ALL of our patients at EACH visit for no additional fee. The advanced and clinically validated InBody Analyzer provides incredibly useful information such as your visceral fat level, your basal metabolic rate, skeletal muscle and fat mass, and much much more.
YES - I am committed to scheduling a consultation with FoundationMED and wish to get registered in our patient portal and have priority access to appointment availability. I understand that I will receive an invitation to sign up in your electronic health record and then fill out the recommended questionnaire. After this, I will be contacted when an appointment time becomes available.