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We support patients using a whole-person approach that considers the patient's physical health, mental health, dental health as well as social determinants of health like transportation, income, and other access barriers. We offer: 

  • Un-interrupted individual time with the patient, family, caregiver, and others involved in the patient's care  

  • Chronic Care Management for patients that need one-on-one time with staff to assess their needs and any barriers to care in order to achieve healthy outcomes.

  • Care Team Meetings, which affords the opportunity to have all staff involved in patient's care in one meeting to ensure that every team member is on the same page; giving patient the same information.

  • Disease prevention through proactive outreach to present patient education, disease screening, identifying risk factors, and more

  • Assistance scheduling and managing patient appointments with primary care and specialty care providers, as needed

  • Assistance obtaining immunizations

  • Patient education