New Patient Appointments: $900. This is a 2-3 hour in-person appointment which includes a comprehensive evaluation reviewing your health history, current symptoms, medical records, diagnostic test results, and a physical exam.

Initial Follow Up Appointments: $600. This is a 1.5 hour appointment which includes review of medical history and any lab or imaging orders with your provider, an evaluation of your stabilization process, and the development of a specialized plan of care.

Subsequent Follow Up Appointments: $450. This is a 45 minute appointment (in-person or virtual) to include an evaluation of your response to treatment and a plan for continued care and progression. Prescribing medications and ordering labs can be done during this appointment.

Case Management Consults: $400. This is a 45 minute virtual follow up appointment reviewing medical information and your response to treatment. You will be given a treatment plan and/or recommendations which will be implemented by a local practitioner. No prescriptions or lab or procedure orders will be provided by RHW for these visits.

No, we do not take insurance. You are able to submit an invoice to your insurance for reimbursement depending upon your insurance provider, but payment to us is due at the time of your appointment.

RHW uses a combination of antibiotics, herbal supplements, and supportive medications throughout treatment. We use a number of different antibiotics and herbal agents to target borrelia as well as its coinfections and its many defensive mechanisms such as round body formation and biofilm aggregation.

Antibiotic and herbal agents are given on a pulsed basis, meaning medications are not taken daily. This is to prevent issues like antibiotic resistance and gut disruption while taking longer-term antibiotics, and also to promote immune competence by not allowing antibiotics to become a crutch.

We also use supportive medications as needed to help patients with symptomatic management for the duration of antibiotic treatment. This is designed to help stabilize patients with regard to their gut, sleep, pain, and mood so they are better able to tolerate and complete antibiotic treatment.

Yes, we use IV antibiotics for some patients. The decision to utilize IV antibiotics for your treatment is made by your provider depending upon your specific needs. If it is decided that IV antibiotics are necessary for your treatment, you will be walked through the details of our IV treatment program during your appointment and have all of your questions answered.

IV therapy will be a monthly fee of $2500. This will include the cost of taking responsibility and managing of the IV line, your monthly visit, access to on-call service, as well as other services that will be further outlined for patients who receive IV treatment. This will not include the price of antibiotics which will be supplied by a trusted compounding pharmacy.

Pediatric patients over the age of 10 can be seen by our providers. Any patient under 10 years of age will be considered on a case-by-case basis.

Yes, we accept international patients. We do require in person appointments once a year, but otherwise will provide care via telehealth. Patients who do not speak English will have to provide a translator for their appointment.

Yes, we can conduct appointments via telehealth for patients residing in states that do not require specific state licensure for practicing telehealth. For patients who live in states with more restrictions on telehealth practices, in office appointments or case management consults can be utilized to provide continuing care.

Once you schedule your appointment, registration paperwork and consent forms will be done virtually via the patient portal. An intake form detailing your past medical history will be provided on the portal to help prepare for and guide your initial appointment. Your previous medical records will need to be uploaded for our records and review prior to your appointment.