Well-child checks, immunizations and vaccines, chronic disease management and follow-up visits, sports/school/camp/work physicals. women’s health, family planning and prenatal care up to 24 weeks provided by Shelda Holmes, FNP, Kim Kelsey, FNP, Amber Warlick, FNP, and Christy Kithil, ND. We also have urgent appointments available to treat your everyday injuries and illnesses.
We reserve several same-day urgent appointments every day for our established patients’ convenience. If you have an urgent matter please call first thing in the morning and we will do everything we can to accommodate you within a few hours and definitely within 24 hours.
Comprehensive allergy skin and blood testing. We also offer immunotherapy treatment following allergy testing results, and are available for asthma management and immunology consults.
Comprehensive medication management, in-house spirometry and nebulizer treatments, and close follow-up for all asthmatic patients, especially children.
We happily provide prenatal care into your second trimester if necessary. We have many community referrals for home birth, birth center and hospital birth available. Individual lactation consultations are also available in-house with Kim Kelsey, FNP.
We are happy to collaborate with your naturopath, acupuncturist, chiropractor, counselors, etc. All of the providers at Hands On Medicine take pride in our openness, appreciation, and practice of treatments other than exclusive allopathic interventions. Your health information is legally protected. In order to send or receive information/records/notes between providers you must sign a release of information. Our clinicians are responsible for reviewing and follow-through on all labs drawn at Hands On Medicine. We will therefore only perform phlebotomy and order other diagnostic test our clinicians deem appropriate.
As primary care providers we manage most health concerns. However sometimes a specialist is necessary. We are happy to work with you and your insurance to find a specialist taking your health plan. We also have our established specialists with whom we have collaborated in the past. For those without insurance, we have referrals for community resources. If you have seen a specialist through a self-referral, please ask them to send us notes. Thank you.
We know our patients travel all over the world. Hands On Medicine staff have personal and professional experience in travel medicine. We routinely advise, vaccinate and treat travelers and are certified to administer the yellow fever vaccine. In addition, we are able to order most other travel vaccines and offer advice to stay healthy on your travels.
We carry a small line of nutrition supplements and herbal products, though we are not in the business of pushing products. We only carry products that have been studied as effective treatments, are lab tested for purity, and that we frequently recommend. For more information regarding supplements and herbal products we recommend you visit the National Center For Complementary and Alternative Medicine website, or the Office of Dietary Supplements, or ask us at your next appointment.
In certain situations we can set up 15 minute telephone consults by appointment with patients needing advice or instruction regarding health concerns. If the provider believes you need an office visit for an exam, than you will need to make an in-person appointment. Patients calling the office expecting to speak to the providers will be managed by support staff, as our providers are usually seeing patients. There is a $75 fee for telephone appointments, however it is not usually covered by most insurance plans. We strongly recommend you familiarize yourself with your insurance plan/coverage.
On Call Coverage
Hands On Medicine provides 24 hour coverage 7 days a week for urgent needs. Because many insurance companies provide 24 hour nurse advice lines, many insurance plans do not cover this service. There is a $75 fee for after-hours telephone triage and consultation. We strongly recommend you familiarize yourself with your insurance plan/coverage.
Emergency Department Visits/Hospital Admissions
If you are admitted to the hospital or emergency room, please let us know as soon as possible so we can retrieve chart notes from your visit. Hospital staff will most likely ask for the name of your primary care provider, however to ensure these records are received in a timely manner, it is best if we know about your hospital or emergency room stay as soon as possible after your discharge. If you need a follow-up appointment after an emergency room visit or hospital stay (for example, suture removal), please let us know as soon as possible so we can get you scheduled.
If an emergency department transport is needed from Hands On Medicine, you will be likely transported to Legacy Emanuel Hospital, however our clinicians have a working relationship with all the local hospitals.
As we are not a hospital-based practice, we do not round on our patients during their hospital stays. However we do work closely with the hospitals and specialists to come to decisions regarding our patients care. That being said, don’t be surprised if we come check on you anyway.