You choose! Take charge of your healthcare wants- membership or pay per visit offerings! We will no longer be accepting insurance. Direct Care Membership will be an annual enrollment fee of $49 per patient. If you decide this plan may not be the best fit for you, please give 30 day notice of cancellation. Payment is due at beginning of the scheduled appointment. Should a payment be returned due to non-sufficient funds, a $20 processing charge will be incurred.
Cancellation Policy There is an automatic no-show appointment charge for appointments patients do not cancel with proper notice. We have a limited schedule that is booked months in advance with a long list of people wanting to be seen. If you are unable to make your appointment, please contact us 24 hours in advance so someone else can be helped.
Patient Resources After Hours Nurse Lines: Renown Health Plan Nurse Advice Line: (775) 982-5757 Carson Tahoe Health Plan Nurse Advice Line: (775) 445-8100 Information on Common Pediatric Health Conditions from the AAP: Symptom Checker
Community Resources: Transgender Allies Group Meetings, information, transition forms, and other resources TAG
Center for Mental Health Services If you are experiencing suicidal thoughts, please go to and ER or call 911. If you are in Washoe County, please call 911 and ask for the Mobile Outreach Safety Team (MOST). You can also call Crisis Support Services of Nevada at 1-800-273-8255 for 24/7 support.