Vitality is built around an ongoing relationship with your care team rather than a one-time visit or a standardized treatment protocol.
We take the time to understand your history, symptoms, goals, previous treatment, and what has changed. From there, we develop a plan, follow your response, review relevant laboratory data, and adjust treatment when it makes sense to do so.

1
Initial consultation
Understanding your history, concerns, and goals.
Your first visit is a full initial consultation, with up to one hour set aside for your clinician to understand the whole picture.
We review your medical history, current symptoms and concerns, medications and supplements, previous treatments, relevant family history, and what you hope to improve.
The purpose of the initial visit is not to move everyone toward the same treatment. It is to understand what you are experiencing, identify what deserves further evaluation, and decide together what the next steps should be.
2
Evaluation
Using laboratory testing when it can inform your care.
Laboratory testing may be part of your evaluation or ongoing care when it helps us understand what may be contributing to your symptoms, establish appropriate baseline information, or monitor a specific treatment.
Which tests are appropriate depends on why you are seeking care, your medical history, existing results, and the treatments being considered.
We do not believe more testing automatically means better care. Testing should have a reason, and the results should be interpreted in the context of the rest of your health.
3
Treatment planning
Discussing the options and deciding on next steps.
Once we understand the clinical picture, we discuss the treatment options that are relevant to your situation.
That conversation includes what a treatment is reasonably expected to help, potential risks and benefits, available alternatives, and any areas where the evidence is limited or still evolving.
Your preferences matter. So do your medical history, individual risks, previous response to treatment, practical considerations, and goals.
The result should be a treatment plan you understand and a clear reason for why each part of it is there.
4
Ongoing care
Reviewing your response and adjusting treatment when appropriate.
Treatment rarely ends with the first prescription.
Ongoing care allows your clinician to follow what has changed, what has helped, what has not, and whether the original plan still makes sense. Follow-up may include reviewing your clinical response and relevant laboratory results, answering questions between visits, managing prescriptions, and adjusting treatment when clinically appropriate.
Symptoms change. Health conditions change. Goals change. A medication may work differently than expected, or something that was useful six months ago may no longer be necessary.
Sometimes good follow-up means adjusting a dose or changing a medication. Sometimes it means adding something. Sometimes it means stopping something that is no longer helping.

The point is not to keep treatment the same. It is to keep asking whether the treatment still makes sense for you.

Initial Consultation
$189
Up to one hour with your clinician to review your history, symptoms, current treatment, goals, and next steps.

Ongoing Membership
$99/month
$99
/month
Ongoing clinician access, follow-up, messaging, laboratory orders and review when clinically appropriate, and treatment and prescription management.
Laboratory testing and medications are billed separately. There is no long-term membership contract.
Vitality is a membership-based practice and does not bill insurance for your care. This allows us to structure visits, follow-up, and ongoing access around the care model rather than insurance billing requirements.
Laboratory testing, medications, imaging, referrals, and other outside services may have separate costs depending on the service and how you choose to pay for them.
If you decide to continue care with Vitality after your initial consultation, the ongoing membership begins after that initial visit.
Vitality provides both in-person and telehealth care where permitted. In-person visits are in Spokane, WA, and telehealth is available in Washington, Idaho, Montana, Oregon, and Utah. Availability depends on your location and the type of care you need.
You do not need to diagnose yourself before scheduling. Your clinician can help determine which concerns may be related, what deserves further evaluation, and which treatment options are relevant.
If you are not sure whether Vitality offers the type of care you are looking for, a free discovery call is a good place to start.
Schedule your initial consultation, or book a free discovery call if you are not sure whether Vitality is the right fit for what you need.
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