Category: Newsetters

How to use the Provider Line

December 5, 2023

The provider line has been developed for our patients to feel they are constantly cared for night and day, 7 days a week. This is a voicemail and text line only. This line is to help ease phone calls to the front desk and eliminate the middleman to ensure more accurate communication. What this means is that there are many things that we can assist you with using this line that will help the phone lines stay open to schedule appointments, answer new patient questions, and navigate issues that you may be unsure of or need more information about.

The best way to think of the provider line is quick access to your provider to request medication refills, provide quick updates on an ongoing issue, ask questions, and, of course, communicate how we can help with acute issues when you are unable to be seen in clinic or over the weekend.

The provider line is for quick updates and conversations; anything needing more than a 3-5 minute response should prompt us to offer a phone, virtual, or in-person appointment as soon as possible. This is often how the providers determine this based on your conversation, in which they will either offer to have the front desk reach out to schedule or ask you to schedule. 

Each provider checks these messages throughout each clinic day. Not all messages require a response from your provider, as they are information updates. Our nurse will triage some of these messages to offer help when your provider is out of the clinic or seeing patients. If it is a matter that needs to be seen right away, she will offer a time or reach out to the front desk to help get you scheduled promptly. Each provider will set their guidelines and schedule for responding to their patients. Remember, they are actively working in a clinic, so they may not respond if it’s not urgent, but always within 24 hours (business). Sometimes, you may get a quick text stating the information is noted, or medication has been sent.

Also, please DO NOT call us if you are experiencing something EMERGENT. Call 911 for immediate response.

For messages left after business hours or over the weekend, your provider or the provider on call will respond on their next scheduled clinic day unless it is an Acute or Urgent matter. They will respond within a few hours.

If you message over the weekend or a holiday, we always have someone on call checking these, and they will reach out to offer help unless it is not an urgent matter. Then, they will leave for your provider to address when back in the clinic, such as medication refills or updates on an ongoing issue. 

Our providers go above and beyond to provide the best one-on-one patient care possible. 

Here are a few helpful things to ensure we can respond promptly with the best response.

  • Always leave detailed messages if you are sick or have a new Acute issue.
    • For example, you want to leave these details: WHEN did this happen? WHEN did you start feeling this way? WHAT are your symptoms currently? WHAT have you done or tried at home?
  • If you are calling about a spouse, partner, parent, or child, please specify whom you are calling about so the doctor knows how to advise
  • If this is something you can take a picture of and send it to us so it can be accessed to see if it requires an in-person visit.
    • Often, we can see a picture and offer a home solution to try to help before being seen in the clinic.
    • Things to take pictures of are rashes, burns, cuts, and swollen areas (in which we may ask you to take a picture of both ankles, wrists, legs, and eyes). This way, we can see a comparison to other body parts in question.
  • Medication Refills 
    • Please allow 48 business hours (Monday – Friday) for medication refills
      • Our providers are not in the clinic every day, so notifying your pharmacy then us when you are down to your last 5-7 days will reduce the possibility of you running out of medications.
      • Controlled substances will only be filled by your provider. These can only be filled every 30 days at a time with no automatic refills; however, we request the same 48 business hours minimum notice of this, but 5-7 days’ notice will ensure there is no delay.

With supply shortages with many medications Nationwide, the more notice, the better to ensure no lapse in your refills.

  • Please call your pharmacy first for a refill. Most of the medications we will have already been sent with multiple refills. The pharmacy will send the provider the refill request if you are out of refills with that medication with the exact information we need, such as Medication name (Generic if applicable), dosing, and quantity. 
    • After you request a refill with your pharmacy, please allow 48 hours for us to respond and then contact the “Provider Line” with a quick message to check the status.
  • If you call/text the provider line with your medication request, specify the Medication Name and Pharmacy.
    • For example: Atenolol 25 mg, one tablet daily to Walgreens Kitsap Way

This will ensure we fill the correct medication dose and send it to the correct pharmacy.

Spring Newsletter 2023

April 24, 2023

Whether you are new to the clinic or have been with us from the beginning, we are glad you are here!

We had humble beginnings, and now we seem to be growing exponentially. With growth comes change. As the Greek philosopher Heraclitus said, “There is nothing permanent except change.”

We have new faces in the clinic, a clinic in Poulsbo and Manette, so many new patients, and a much busier practice.

Here are some ways we can improve your experience:



Most days, we have two people answering phones and still can not get to each of you personally as you call in. This is why when you call, you need to leave a message. All front desk messages are handled by the end of the day. When you call and do not leave a message, we do not know you need us.


Medication refills and specific needs from your provider- please do this on the provider line. It is a message phone and a text line 360-621-1104.

You can also reach this line by hitting option 2 when calling the main front desk line.

Price Changes

We had an increase in our membership price this year. This is our 4th increase since we opened our doors nearly 9 years ago. Our goal is never to price people out of our services, so if you are having a hardship, please let us know. We can work with you on payment plans or scholarships if needed.
With this, we will have some new charges for clinic add-on services starting in May (member prices; not for billable Medicare patients):

  • B-12  Injections: $10
  • Toradol Injections: $15
  • Joint Injections:$20 per body part
  • Tetanus shots: $47
  • CDL Physicals (starting in August)
    •  Member: $50
    •  Non Members: $150 (not Medicare)
  • Acupuncture
    • Members/Medicare: $40-$70
    • Non-Members:$100 (not Medicare)

Clinic Staff & Schedule


We are approaching warmer months which brings vacations for our staff. We strive for work-life balance; taking good care of ourselves helps us take good care of ourselves. We appreciate your patience if staffing is down when you want an appointment. It’s okay to see a different provider if yours is away.


We piloted an Urgent Care Clinic in our Manette location for February and March, hoping to help with the lack of community urgent care clinics on the weekends. We did this as a service to the community.  We were able to help about 6 patients during this time and may do another pilot of this idea in the Fall. For now, we will not be open on Saturdays.


Tammy will be moving back to South Carolina this summer to be closer to family. We will miss her terribly.

Appointments & Refills


Please allow 2-3  business days for all refills, especially controlled refills. Best requested directly thru your pharmacy or the provider line.


Plan for your yearly wellness exam; then, we can ensure you get in with your provider of choice at a time that suits you and us.


We do our best to get urgent exams (illness or injury) on the same day. This may not be with your provider if they do not have openings. Our providers communicate reguarly, so do not worry about seeing someone different.

COVID-19, the Bully

March 19, 2020

By Nita Baer MA Lifespan Integration Therapist/Consultant Spiritual Director 

Surreal times! I’ve entertained a host of emotions this week as our community shuts down and the stock market flails. COVID-19 feels like a bully and the fall out chaotic. I’ve known bullies since day one. No fun!! 

This bully put our world into a steep, disorienting learning curve. Super uncomfortable! As humans we prefer comfortable because at a subconscious level our animal (reptilian) brain equates “sameness” with safety. Our first, subconscious question, in every situation is … “Am I safe?” This need for safety is found in your amygdala that was formed 80% in uterus and the last 20% in the first couple months of your life. Your amygdala houses your fight, flight, freeze, and collapse responses. All information comes in through your bodies five senses for screening by the amygdala before moving into conscious thought. 

If you were born into a home were your parent responded with warmth and kindness when you cried your outlook on life is much more likely to be, “Yes, I am safe. All will be well, and all manner of things will be well.” Thank your parent! 

If your parent was unpredictable for any reason, or unable to soothe you because you were sick, your matrix was wired much, much, differently. Your brain tells you, “If I am uncomfortable, I am in trouble. Nothing that causes me to feel uncomfortable ends well for me. We are going to die!” 

This anxiety does not improve by telling yourself to get a grip! In fact, dismissal will ramp up your emotions big time. Think of your amygdala like a young child. If a child thinks the adult in charge is not going to watch out for them, they freak out. If the child knows the adult in charge will be kind, stay with them even if they have big emotions, the child will calm down. 

This is because the worst thing a human can experience is a felt sense of abandonment. Abandonment to an infant (remember the forming age of your amygdala) means we die. A felt sense of abandonment verses physically being left is what matters. If a child cries or reaches out to their caregiver who is preoccupied with their phone or too busy, the child becomes anxious. Right now, in our community there are many people feeling anxious. Not uncomfortable, not restless, but perched on the edge of a panic attack, or well into a panic attack. They struggle moment by moment to ride the wave of emotion. They may startle more easily, anger may have a shorter fuse, they may withdraw or become really clingy. 

And these can be normally really high functioning folks! Like you and me! For those of you who believe, “All will be well,” the dysregulated emotions of the anxious may seem uncalled for, overreacting, a waste of energy, foolish, etc. How very privileged you are! Be thankful your amygdala is working well for you! 

This is a time for you to offer empathy (Brene Brown has a great free online animation regarding empathy) and offer constructive alternatives. Somewhat like a kind parent who validates a child’s emotion and then helps the child reorganize. Reorganizing an infant may be all about changing a diaper. Helping an adult reorganize may look like taking a walk, doing yoga, telling a funny story, offering art supplies, helping them consider what is true about the present moment. 

You who feel anxious… for God’s sake stay off the news!!! You all know the drill by now. Social-distancing, wash your hand, quarantine if you feel sick. All the details are too much and unnecessary! 

If you are reading, this the truth is, you have many more resources then when you were a child. The uncomfortableness of this moment is not the same as when you were an infant. Now you have many, many more options. You can call a friend, take a walk, a bike ride, weed, (our yards may look amazing this year!) read a funny story, do Qi-Gong, yoga, Sudoku, read something inspirational, do art, cook good food. (Yes, there is food. People in China are not starving, I checked!) The vast majority of you are not stuck in a blanket needing someone to pick you up! 

Make a choice to breathe deeply many times a day. Breathe in to the count of eight, hold it, exhale deeply and pause. Repeat ten times. If anxiety is increasing, count anything and everything. Count backwards by three or seven. Counting drives you into your left brain that will help your right brain (where your emotions hang out) calm down. Smell something yummy, feel the seam of your jeans, notice the colors around you. And breathe some more! 

To be human is amazing!! We all grew our own heart and lungs, we are tenacious, resourceful and strong! Remember vast majority of folks want to help you! 

Be well! 


Lee Holden Qi-Gong, online classes and he is offering free wellness routines. 

Oak App for breathing.

Luminosity is a brain training app. A constructive place to put your mind to work.

Down Dog App offering free routines right now.