Six monographs.
Six fixed fields.
One revision per quarter.
Every service we offer is published as a numbered monograph with the same fields, in the same order, every revision. Each monograph names what it is for, how we deliver it, what it costs, and the indications under which we refer out instead.
The fixed fields are: Indications · Mechanism · Population · Form & frequency · Outcomes · Adverse effects & limitations · Contraindications · Patient counseling · Cost · Alternatives we do not offer · Authors · Last revision. They appear in this order on every entry.
Adult primary care
Continuity care for adults from age 19 onward. USPSTF-aligned prevention. Chronic disease management for hypertension, type 2 diabetes, COPD, CKD I–III, MDD, GAD. Deprescribing as practice policy.
OPEN19+DPC + INSURANCEPediatric & adolescent care
Bright Futures-aligned well-child schedule from 2 weeks through age 18. Confidential adolescent reproductive and mental health under NY Public Health Law § 17. ADHD evaluation pathway with explicit boundaries.
OPEN · 3 SLOTS0–18VFC PROVIDERBehavioral health
Psychiatric evaluation and ongoing medication management; brief CBT/ACT; medications for opioid use disorder (MOUD) and alcohol use disorder. Co-treatment with named community therapists; we do not run a therapy panel.
WAITLIST 11d14+MOUDReproductive & gender health
Same-day IUC and Nexplanon. Preconception counseling and prenatal coordination through 28 weeks. Menopause and perimenopause hormone therapy aligned to the 2022 Menopause Society position. Gender-affirming hormone therapy on the informed-consent model.
OPEN14+INFORMED-CONSENT GAHTOffice procedures
Skin biopsies, cyst excision, joint and trigger-point injections, IUC and Nexplanon placement and removal, suturing, ear lavage, nail avulsion, and bedside ultrasound for relevant indications. Same-day for established patients.
OPENEST. PATIENTSPOC USAcute & after-hours
Same-day acute slots Mon–Thu, half-day Fri. After-hours phone line answered by the on-call clinician — not a triage script — between 17:30 and 22:00 weeknights and 09:00–18:00 weekends. Strict scope, no chronic refills.
LIMITEDEST. PATIENTSON-CALLHow to read a monograph.
Each entry has the same twelve fields, in the same order, on every revision. The fields are the most boring part of the document, and that is the point. BNF entries, Tarascon entries, DailyMed labels — they are all the same way for the same reason. Predictable structure protects against the soft errors of selective omission.
| Field | What goes in | What does not |
|---|---|---|
| Indications | The clinical situations that the service is appropriate for. Named diagnoses, named populations. | Marketing adjectives. "Comprehensive." |
| Mechanism | What the clinician actually does in the room. Named tasks, named scripts. | "Holistic care." "Whole-person." |
| Population | Who can be seen here. Age range, panel status, insurance accepted. | Vague inclusivity statements. |
| Form & frequency | Visit length, cadence, follow-up policy. | "As needed." |
| Outcomes | The internally audited numbers we publish quarterly. Sample size, period. | Star ratings. |
| Adverse effects & limitations | What this service does not do well; documented complication rates. | Silence. |
| Contraindications | The patients we will not accept for this service, with named reasons and named referral targets. | "Please contact us." (We will, in the contraindications, name the actual exit door.) |
| Patient counseling | What you can expect at the first visit. | Generic "what to bring." |
| Cost | The membership rate, the insurance copays we have observed in the last quarter, the cash-pay rate. | "Contact for pricing." |
| Alternatives we do not offer | Named services adjacent to ours that we deliberately do not provide; named local alternatives. | Defensive language. |
| Authors | The named clinician(s) who own each monograph. | "Our team." |
| Last revision | The date and the revision number. | "Updated regularly." |
All revisions are logged on the errata page. Old versions are accessible via the dated diff entries; the most recent superseded text is preserved verbatim alongside the explanation of what changed.