+ What should I expect at my initial consultation?

At your initial consultation Dr. DeFrancesco will listen to your story, review your medical history, and perform physical exams.

If you are a good candidate for our services, Dr. DeFrancesco will discuss the necessary lab tests and schedule your Nutrition and Lifestyle Consultation for the following week.

+ How much does the initial consultation cost?

The initial consultation is $249.

+ How long is the initial consultation?

The initial consultation is 75 minutes.

+ What should I bring to my initial consultation?

To get the most value from the initial consultation complete and return your intake form 24 hours in advance. Bring any pertinent medical records, test results, and current supplements.

+ How do I know if I qualify for the Essentials Program?

The Essentials Program is for anyone who wants to maximize their health. If you have a condition which requires urgent medical attention or if you are not motivated to take responsibility for your health through significant nutrition and lifestyle changes, the Essentials Program is not a good fit for you.

+ What's included in the Essentials Program?


8 – Appointments with Dr. DeFrancesco including:

8 Appointments with Dr. DeFrancesco including:

  1. Initial Consultation – 75 minutes
  2. Lifestyle & Nutrition Consultation – 60 minutes
  3. Flex Appointment (any time, any service)
  4. Lab Results Review – 60 minutes
  5. Clinical Follow Up – 60 minutes
  6. Clinical Follow Up – 60 minutes
  7. Flex Appointment – 60 minutes (any time, any service)
  8. Clinical Case Review – 60 minutes

  9. A personalized root cause medicine program

  10. An in depth review of your case
  11. Customized nutrition & lifestyle design
  12. Personalized lab interpretation videos
  13. 8 comprehensive consultations
  14. Email access to your doctor
  15. Direct labs & VIP supplement pricing
  16. Patient support group & development workshops

Click here for full program details.

+ Do I still need a Primary Care Physician?

Yes. We do not provide acute or urgent care services and we do not replace the services that your current medical team provides. We provide a stand-alone service focused on eliminating root causes and creating and advancing health.

+ What is the investment to join the Essentials Program?

The Essentials Program is $2499 and typically is completed in 6-8 months.

+ Does the cost of the initial consultation apply to the cost of the Essentials Program?

Yes, your initial consultation is one of your eight appointments included in the Essentials Program. When you enroll in the Essentials Program your payment for the initial consult is credited to the total investment in the program.

+ Does your office take insurance for Functional Medicine Services?

We strongly believe that third party payers shouldn't interfere with the relationship between a patient and their doctor, influence medical decisions, or limit access to care. Therefore, we are a proud direct care provider.

We do not accept insurance or Medicare for our consulting services. Your case requires special attention, educational resources, communication, and time that is not covered by insurance companies.

However, we will provide you with a Superbill that you can submit to your insurance provider for out-of-network benefit reimbursement. You may also use your HSA or FSA account. Please check your with your insurance provider or Human Resources Department to find out.

Can I use my HSA or FSA account?

Yes. Please check with your Human Resources department to make sure.

+ Are labs and supplements included?

Labs & supplements are not included in the Essentials Program and are an additional cost. We don not mark up labs or supplements. Our pricing is 100% transparent, mainly because we think it always should be. We carry a mini medicinary of the things we use most (or are a total bugger to find) priced at cost.

+ How much should I budget for functional lab testing costs?

We're committed to enhancing your access to the services, laboratory testing, and medicines you need through transparent and affordable pricing. We provide labs and supplements at our cost - no markup - and pass the savings on to you.

On average, you should budget between $500-$1000 for functional lab tests.

+ Is the Essentials Program and functional lab testing covered by insurance?

The Essentials Program is not typically covered by insurance, however in many cases you can use your HSA or FSA for your visits.

Upon request we will provide a Superbill for your appointments that you can submit to your insurance provider to receive out-of-network benefit reimbursement if that is a part of your plan. We do not guarantee reimbursement.

The functional lab tests we use are often covered by PPO insurance plans or can be purchased directly from the lab.

+ How does the lab testing work?

Bloodwork is done either at your insurance provider's prefered local laboratory or in the comfort of your home or office with a mobile phlebotomist who will come to you.

Functional labs tests are typically done at home with a kit and clear instructions we provide you with. Payment is made directly to the lab to ensure access to the lowest price possible.

+ Does your office accept patients that live in other cities?

Yes. We are currently accepting patients who live in the United States and are able to travel to our office in Portland, Oregon for their initial consultation. Follow up visits can be done by secure video chat for your convenience.

+ What are your office hours?

Our office hours are Tuesday to Friday 10AM-5PM.

+ What happens after I complete the Essentials Program?

Once your health is on track, you won't need us as much. At the conclusion of your program we will discuss next steps and create an annual plan for you to stay on track and follow up as needed.

I'm ready to get started. What's the next step?

Please schedule a free phone consultation to make sure you qualify and that our solution is a good fit for you.