While MindStream doesn't take insurance, we are able to use your insurance for lab and radiology studies depending on your coverage. We provide a superbill that you may submit to your insurer for office visits, but you are required to pay for those at the time of service. We are also able to provide referrals to other local providers and coordinate with your specialists when necessary.

Some clients use MindStream for primary care (we are able to perform well-woman exams, well-man exams, and all traditional health maintenance exams for adults), but many opt to have a PCP who takes their insurance for those exams and then come to us for more in-depth healthspan activities. We are usually able to provide same day appointments for sick care, either in person or telehealth. Patients are encouraged to contact the office with questions (unless it's a medical emergency, in which you're encouraged to call 911) where our staff can help in the decision making around the need for a higher level of care.

We offer on site lab testing using PathGroup but we can also order through LabCorp and Quest for traditional labs. MindStream also offers functional medicine testing through a variety of vendors. We have offer many tests, including the GI-Map, Boston Heart Diagnostics, DUTCH testing, OralDNA, and many more. We provide individualized review of these tests along with treatment and follow up recommendations.

Being a patient at MindStream starts with a thorough history along with identifying a person's goals or immediate needs. At the first visit, if you have labs available, we can review those and consider additional testing if that is indicated. Typically after a first visit, and any additional testing, we have a follow up visit to review everything and identify strategies to achieve the goals and tactics that are acceptable to the patient. As a full-spectrum office, we are able to do pap tests and general health screenings, so some features of a traditional practice apply at MindStream, but people generally experience it as a slower paced environment.

Patients with autoimmune conditions need nutritional guidance and support, lab assessments, and occasional functional medicine tests to help understand ways to lower inflammation and reduce symptoms or progression. We also understand that one autoimmune condition is a risk factor for another, so surveillance, screenings, and preventive measures are a large part of our practice.

We see patients with mood symptoms and assess for general medical conditions that often cause these symptoms or imbalances in a person’s constitution that can exacerbate mood symptoms. We participate in regular trainings to deepen our skillsets with somatic and trauma informed therapies. Our practice can support patients who need support for depression, anxiety, bipolar disorder, personality disorders, trauma, and dissociative disorders.

MindStream helps to support patients living with a cancer diagnosis to prevent recurrence using metabolic approaches to cancer. We use Jane McLelland’s approach and seek to partner with a patient’s oncology care team to support well-researched metabolic approaches that may not be provided in the traditional setting.

MindStream is able to use and interpret tests that assess the gut microbiome, hormone analysis and other functional medicine tests, and offers practical, evidence-based approaches to conditions such as hormone therapy, dysbiosis, toxin exposures, and neuroinflammation.

MindStream is eager to help patients coordinate care or navigate the health system. If you are interested in this, we provide that on a case-by-case basis.

MindStream has providers who are trained in psychiatric care, family medicine, integrative medicine, health coaching, aromatherapy, reflexology, iridology, Ayurvedic approaches, mindfulness meditation and we continuously training to deepen our skillset for our patients. We regularly work with behavioralists, chiropractors, specialists, and coaches to improve our patients outcomes.

In general, MindStream is not available after our posted business hours. Like most primary care practices, we ask that you seek emergency or urgent care if you need assistance after hours. We can often offer same day appointments for patients needing a sick visit if there is a provider available. We ask your patience, as you may not see your usual provider. We do not shorten patient appointments to accommodate add-ons (you may appreciate that!). Sick visits can be in person or telehealth.

Ketamine is a powerful catalyst that may help provide energy for change or reduce inner barriers to change. By working within the carefully curated container at MindStream, clients receive preparation, integration and medicine session support that helps anchor the awarenesses that arrive using this approach.