Our Membership Services

What’s consistent across memberships

• Direct access to your physician; same- or next-day care when appropriate.
• Unhurried visits; telemedicine and in-person options.
• Negotiated lab pricing and at-cost medication dispensing when applicable.
• Care coordination with trusted specialists and for hospitalizations as needed.

Which membership is right for me?

• Direct Primary Care — full-scope adult primary care including chronic disease management, procedures, mental health, and preventive care. Includes all services of our other memberships when indicated.
• PrEP & STI Care — comprehensive sexual health, PrEP (oral & injectable), DoxyPEP, and convenient telemedicine across OR & WA.
• Gender Affirming Care — hormone therapy, monitoring, and supportive services tailored to your goals.

Comprehensive Primary Care

• Comprehensive primary care for adults
• Access to our private, welcoming clinic in Portland, OR
  Physical exams and other in-person evaluations as needed
• Telemedicine
  Convenient visits from home; simple issues via phone or text with your doctor
• Chronic condition management (e.g. diabetes, heart failure, coronary artery disease, hypertension, chronic kidney disease, asthma, COPD, and more)
• Coordination of care with our trusted specialist network
• Hospital care coordination if admitted
• Urgent care for common, non-emergency issues
• HIV care
• All services in our PrEP & STI Care Membership
• All services in our Gender Affirming Care Membership
• Mental health care (e.g. depression, anxiety, ADHD, PTSD, OCD, and more)
• Evaluation of sleep disorders
• Contraceptive management
• Weight management
• Maintenance addiction treatment for alcohol use disorder and opioid use disorder
• In-clinic medication dispensing at wholesale prices†
• Wholesale lab testing†
• Optional virtual dermatology consultations†

Key: † Additional cost at wholesale rate — no markup; savings often 80–90% compared to traditional healthcare.

In-Clinic Procedures

• EKG†
• Pulmonary function testing (PFT)†
• Dermoscopy full-body skin exams
• Skin biopsies*
• Mole, skin tag, and cyst removal
• Cryotherapy for warts, skin tags, and pre-cancerous skin lesions†
• Incision and drainage of abscesses or infected cysts
• Ear lavage for ear wax impaction
• Splinting of minor injuries
• Minor laceration repair
• Trigger point injections*
• Steroid injections (e.g. knees, shoulders, carpal tunnel, etc.)*
• Occipital nerve block*
• Clinic-administered STI treatments*
• Clinic-administered injectable HIV PrEP — cabotegravir/Apretude and lenacapavir/Yeztugo*
• Clinic-administered injectable HIV medications (cabotegravir-rilpivirine/Cabenuva)*
• Long-acting reversible contraception management*
• Pap smears*
• Rectal exams and anoscopy

Key: † Small fee to cover supplies or materials may apply (typically around $5). * Cost of pathology, medications, or contraceptive devices is not included; these can be billed through insurance or provided at wholesale rates.

Comprehensive Sexual Health

• Sexual health counseling & education
• Comprehensive sexual health evaluations
• STI testing & tailored screening schedules
• HIV PrEP prescription management* (oral & long-acting injectable)
• DoxyPEP prescription management* — 15 doses for under $3 at our wholesale rate
• In-person visits & clinic-based STI treatments when needed (e.g., ceftriaxone, oral antibiotics, cryotherapy for genital warts — typically just a few dollars at cost)

Note: We handle most STI treatments in-clinic and pass on supplies at wholesale cost. For syphilis, intramuscular penicillin injections are provided through local health departments due to cost and national distribution programs.

Unmatched Access (OR & WA)

• Telemedicine across Oregon & Washington — prescriptions to mail-order or local pharmacies; lab orders to your nearest draw site
• In-person care & injectable PrEP at our Portland, OR clinic
• Referrals to trusted local clinics for STI evaluations & treatment*
• Optional concierge mobile phlebotomy (at-home lab draws & STI treatment) available for an additional fee

* Coverage & savings: Under the Affordable Care Act, oral PrEP medications and related labs are typically covered at 100%. Assistance programs are available. Cash-pay patients benefit from our negotiated wholesale pricing for DoxyPEP, Truvada, and labs. See lab savings and medication savings.

Comprehensive Gender Affirming Care

• Comprehensive gender-affirming care consultation
  Personalized intake visit with full review of goals, health history, and treatment options.
• Gender-affirming hormone therapy
  Initiation of a tailored plan; ongoing prescription support*, monitoring, and dose adjustments.
• Routine lab monitoring
  Regular labs to ensure safety and effectiveness.
• Support for hormone-related effects
  Care for acne, sexual side effects, hair changes, and more.

Unmatched Access (OR & WA)

• In-person care when needed
  Access to our welcoming Portland clinic for consultations and injection visits.
• Telemedicine across Oregon & Washington
  Most patients can receive all care remotely ◇; prescriptions to local or mail-order pharmacy; labs to nearby sites; mobile phlebotomy in select areas.
• Injection support
  Instruction for self-injection; in-clinic hormone injections available for some patients*.
• Pre-surgical assessments & referrals
  Documentation and referrals for gender-affirming surgeries when indicated.
• Referrals for other affirming services
  E.g., hair removal, facial procedures, voice coaching and speech therapy resources.

Disclaimers:
* Most medications can be filled through retail pharmacies and billed to insurance as usual; wholesale options available for select meds (e.g., estradiol tablets under $7 per 90 tablets). Lab pricing may be significantly cheaper at our negotiated rates than via insurance.
◇ Physical exams may be required for patients on testosterone depending on evolving telemedicine laws for controlled substances.