Slow Medicine | Healing | Restore Balance | Prevent Disease

Functional Medicine Consultation Services

We Offer Two Tiers of Service to Meet Your Personal Needs

Tier One

Comprehensive Functional Medicine Consultation with Karyn Shanks, MD

Your first encounter at the Center will be with Dr Shanks, who will spend 2-4 hours (the average consultation time is 3 hours) with you. The total time together will depend on the complexity of your situation. Our goal is to spend as much time as necessary to meet your needs, never cutting a consultation short due to time constraints.

Dr. Shanks will prepare for your first visit with a thorough review of your health questionnaires and past medical records. She will then meet with you and spend as much time as necessary to explore your entire health story, perform a complete physical exam, establish goals with you and help you to craft an initial personalized plan of care. This will include diagnostic testing, a food and lifestyle plan, and all necessary therapies to help restore your health.

Your first visit with Dr. Shanks will be followed by a one-hour session with our Functional Nutritionist, Lisa Scranton, to help you implement the prescribed therapeutic food plan. This session is a vital part of the initial Functional Medicine consultation.

Follow-Up Visits with Dr. Shanks

First follow-up visit

This is usually 1.5 hours in length, depending on the complexity of the situation. This time is used to discuss all test results and initial observations about food and lifestyle changes and initial therapies. We continue to develop and expand your personalized care plan.

Subsequent follow up visits with Dr. Shanks

These are typically one hour in length but we try to maintain flexibility, understanding that people have very different levels of need.

Fees for 2018

Karyn Shanks, MD

$460 per hour

Prorated to time used in 15-minute increments, for entire service provided to you.

The fees charged to you will include the time Dr. Shanks spends preparing for your face-to-face visit through review of your questionnaires, medical records, and other documents or narratives provided to help her understand your health story. Preparation time is typically 30-60 minutes for new clients, though may vary depending on complexity.

Lisa Scranton, MS, RDN, LD

$220 per hour

When associated with initial Functional Medicine consultation.

Fees for 2019

There will be a small inflationary increase in fees starting on January 1, 2019.

Karyn Shanks, MD

$480 per hour

Tier Two

Functional Nutritionist Consultations

Nutrition consultations are available either as independent appointments or in conjunction with Dr. Shanks’ new client Functional Medicine consultations (see Tier One). If you schedule an independent nutrition consult, you will meet with our Functional Nutrition Specialist, Lisa Scranton, MS, RDN, LD. Your first visit with her will be approximately 90 minutes, though more time is available depending on your level of complexity and need. She will perform a comprehensive food and lifestyle assessment and order appropriate functional testing (this may include nutrition analysis, food sensitivity testing, genetic and metabolic testing and others).

Lisa will partner with you to create a personalized food plan to support your optimal health and vitality goals, discuss the science behind those goals and examine how to implement them in your life. You will leave the session with a comprehensive food plan, which can include daily meal plans and recipes, recommendations for supplements and suggestions for monitoring your nutritional status.

Follow Up Visit With Lisa Scranton

These will be 30-60 minutes in length and will include all follow up assessments needed, review of lab test results and observations regarding food and lifestyle changes undertaken. She will provide ongoing coaching and work closely with you to personalize your healing through food and to support you in your success.

Fees For Functional Nutrition Consultations

New Client Comprehensive Functional Nutrition Consultation

$240 per hour

Prorated to time used in 15 minute intervals. A typical consultation is 90 minutes.

Follow-up Functional Nutrition Consultations

$240 per hour

Prorated to time used in 15 minute intervals. Typical consultations are 30-60 minutes.

Discounted nutrition consultation packages are available

ask Lisa for details

New Client Combination Consultation

$220 per hour

Functional Nutrition Consultation with Lisa Scranton Combined with Functional Medicine Consultation with Dr. Shanks (see Tier One).

Sustainable Weight Loss Group Sessions

with Lisa Scranton, MS, RDN, LD

This deep, comprehensive work, based on Functional Medicine principles, will take place over four sessions in a small group format.

please contact Lisa for more information

Policies and Fees

Telephone Consultations with Dr. Shanks

2017: $440 per hour, prorated to time used in 15-minute increments.

2018: $460 per hour, prorated to time used in 15-minute increments.

These are available for established clients only. All new clients must be seen in person.

*Unscheduled phone contact for up to a maximum of 5-minutes to discuss minor issues or questions that come up between scheduled consultations will not be charged. Calls that require more than 5-minutes will be billed at the hourly rate of $420, in 15-minute increments.

Email Consultations

We do not provide consultations or assessments of any kind by email. This is due to our concerns about the privacy of email and the challenge of conducting a complete and clear back-and-forth conversation. Email should be used only for schedule changes or requesting an appointment.

For Healthcare Practitioners

Intensive Functional Medicine Mentorship Sessions: $440 per hour

Cancellation Policy

Four full weeks are required to cancel or change an initial consultation with Dr. Shanks. One week is required to cancel 1-hour follow-up appointments. You will be responsible for the entire fee if notice is not provided within the stated times.

Insurance

Dr. Shanks is licensed to practice medicine in Iowa and is board certified by the American Board of Internal Medicine. As such she is covered by your medical insurance as an “out of network” provider. Full payment for your service is expected at the time of your visit. Any reimbursement by insurance is the client’s responsibility and will be done at the rate established by the insurance carrier. All of our services, including prescribed nutritional supplements and nutritional consultations qualify for all flex and health savings account (HSA) plans.

Medicare

The Center for Medicine and Healing Arts is not a Medicare provider and as such cannot submit claims to Medicare on your behalf. Some supplemental plans will reimburse for services not covered by Medicare. You will need to investigate your plan regarding this.

Payment of Fees

Fees are collected in full at the time of service. You will receive complete documentation of your visit, including all needed insurance codes to facilitate reimbursement. It will be the client’s responsibility to obtain insurance reimbursement. Personal checks, cash, MC, VISA and Discover are accepted.

The Center For

Medicine and Healing Arts

It’s time to heal

Let’s take the first step

Our Practitioners

An amazing team

Karyn Shanks MD

Founder and Director

Lisa C. Scranton MS, RDN, LD

Functional Nutrition Specialist

Margaret J. Hansen, DC

Emotional Balancing & Muscle Healing

Shannan Cassidy

Clinic Coordinator

Functional Medicine Consultation Services

We Offer Two Tiers of Service to Meet Your Personal Needs

Tier One

Comprehensive Functional Medicine Consultation with Karyn Shanks, MD

Follow-Up Visits with Dr. Shanks

Fees for 2018

Karyn Shanks, MD

$460 per hour

Lisa Scranton, MS, RDN, LD

$220 per hour

Fees for 2019

Karyn Shanks, MD

$480 per hour

Tier Two

Functional Nutritionist Consultations

Follow Up Visit With Lisa Scranton

Fees For Functional Nutrition Consultations

New Client Comprehensive Functional Nutrition Consultation

$240 per hour

Follow-up Functional Nutrition Consultations

$240 per hour

Discounted nutrition consultation packages are available

New Client Combination Consultation

$220 per hour

Sustainable Weight Loss Group Sessions

with Lisa Scranton, MS, RDN, LD

Policies and Fees

Our Healing Life COMMUNITY

Stories, wisdom, education, and tools

Lisa C. Scranton
MS, RDN, LD