New Patients & FAQ's

Working with Dr.’s Dallas and Pamela Peak

We are all digital; everything is online via your Secure, HIPAA-Compliant Patient Portal login, including your Personalized Treatment Protocol recommendations & instructions, Messages to/from your Doctor, Lab reports, and Account Statement/Billing.

We do not take any Insurance or Medicare, as insurance companies like to limit treatment options to what they think is “best”, meaning cheapest, in the short term.  Your treatment plan can save many thousands of dollars over the rest of your life because reversing chronic disease can decrease future expenses, such as escalating medication needs and Long Term Care (nursing home) placement which costs over $80,000 per year in Indiana in 2015.

The way that Dallas and Pamela Peak, MD’s work with patients differs considerably from the conventional medical model you may be accustomed to. Please read the following information thoroughly to familiarize yourself with their process. There is also a section at the end that describes the fee structure.

Become a patient of Peak Health LLC with Dr. Dallas or Pamela Peak

Dr. Dallas Peak and Dr. Pamela Peak are currently accepting new patients who live in the United States. An in-person visit to our office located in Indianapolis, IN is required for the Case Review, which is the second appointment. Follow-up appointments may take place in person or via phone or Chiron video conference.

To become a patient follow these steps to apply:

  1. Read the information below to understand how we work with patients and make sure you are familiar with the process and fees before you apply.
  2. Fill out this application form. Within a week after you submit your application, you will receive an email instructing you on how to register in our Electronic Health Record (EHR) system.
  3. Within a week after you register in the EHR, we will contact you by secure message to help schedule your initial appointment.

We recommend that you add the domain “@icfmed.com” to your safe senders’ list in your email client to make sure that our emails do not end up in your spam folder.

Thanks for your interest in working with us!

As a new patient, your treatment is broken into two phases:

  • The Case Review (Phase One), includes 2 appointments
  • Ongoing Treatment (Phase Two), the follow-up appointments

 

Each phase is described in more detail below:

PHASE ONE: The Case Review

The Case Review is the first step for all new patients. The Case Review process is designed to save money and time in the long-term by performing the appropriate diagnostic testing and evaluation before treatment begins. A cornerstone of our approach is “test, don’t guess.” Identifying the underlying patterns contributing to disease is the key to a successful and lasting outcome.

The Case Review serves several purposes. It enables Dr. Dallas and/or Dr. Pamela to more accurately estimate how long your treatment program will last, what it will include and how much it will cost. It gives you the chance to ask any questions you may have about your condition and what you should expect. It also provides an opportunity for us to get to know each other and determine if our clinic is a good fit for you over the long-term.

The Case Review includes:

  • An initial 30-minute consultation to determine which labs to order. (The “Initial Consult” appointment)
  • A thorough review of your medical history and relevant previous lab work (20 page limit).
  • A review of your current diet and nutritional supplements.
  • A detailed body systems assessment.
  • A 90-minute in-person consultation with Dr. Peak, to review your test results and present your treatment plan. (The “Consultation” appointment)
  • A treatment plan including diet, supplements and lifestyle therapies.
  • Recommendations for further testing as indicated.

The Phase One Case Review process includes two steps, which are described in more detail below.

 

Phase One, Case Review, Step One: Initial Consult

During this 30-minute appointment, Dr. Peak will interview you to determine which lab tests to order for your Case Review based on your chief complaints and your history.

This appointment has two purposes: to make sure that we have all of the information needed to gain a comprehensive understanding of many of the factors affecting your health and to give you a head start on your treatment before you meet with us.

The exact lab testing ordered after the Initial Consult depends on your individual circumstances, but may include:

  • A comprehensive blood chemistry panel. This is the single most efficient, effective and affordable tool for quickly evaluating your health. It screens for a wide range of conditions, including several types of anemia; gut, viral and bacterial infections; insulin resistance and hypoglycemia; liver and kidney issues; and thyroid and adrenal problems. It offers important clues for how to structure and focus your treatment to get the best results. It also provides a baseline of biomarkers that can be used to objectively track the progress of your treatment over time.
  • Additional blood tests for specific conditions, such as high cholesterol, hypothyroidism, autoimmune disease, osteoporosis, chronic infections & biotoxin illnesses, heavy metals, gluten/food sensitivities, & genetic testing.
  • Advanced stool testing to screen for parasites, fungal overgrowth, bacterial infections, intestinal inflammation, dysbiosis and a deficiency of beneficial bacteria.
  • Urine organic acids testing to screen for small intestinal bacterial overgrowth, fungal overgrowth, problems metabolizing fat or carbohydrates, B-vitamin status, methylation issues, detoxification capacity, oxidative stress and neurotransmitter metabolism.
  • Urine/saliva hormone testing for adrenal and sex hormone status.
  • Cognitive Testing at initial/baseline and repeated during follow-up.
  • Visual Contrast Sensitivity testing.

 

You will be provided with the electronic Case Review health history forms to complete within the patient portal of our Electronic Health Record (EHR). It is important that you spend time and energy necessary to complete these intake forms, as they are vital in helping us understand your case. These forms include:

  • A detailed health and medical history questionnaire
  • A survey of your chief complaints and most important health goals
  • An assessment of your most troubling and frequently experienced symptoms
  • A diet survey and questionnaire
  • A survey of your current supplements and medications

 

Finally, we will provide you with dietary guidelines to follow after your Step One Initial Consultation. These are frequently extracted from Chris Kresser’s New York Times Bestseller The Paleo Cure, as well as his online programs, and include detailed instructions on how to perform a 30-day Paleo elimination diet (i.e., “30 day Reset”). As well, dietary guidelines are further tailored based on individual circumstances, such as for the ReCODE ™ Protocol (using the IFM’s “Mito Diet” or Dr. Bredesen’s Ketoflex 12/3 Diet) or other special physiologic needs.

It is critical that you implement the 30-day Reset diet to the best of your ability. When you speak with Dr. Peak at the next appointment, your experience with the diet will be as important as any lab findings in guiding the next steps in your care plan.

Once we’ve received your lab results and complete Case Review paperwork, you will move on to Step 2: the Case Review Consultation. This typically occurs between 60 and 90 days after the Initial Consultation, because some of the labs we use take up to 8 weeks to deliver the results to us after receiving your sample. While you wait for your lab results to come back, you will be implementing the 30-day Reset diet and making forward progress.

 

Phase One, Case Review, Step Two: In-Person Consultation

The Case Review Consultation is a 90-minute in-person appointment. If you live outside the Central Indiana area, you must make arrangements to travel to our clinic for the appointment.

Prior to the Case Review, Dr.’s Dallas &/or Pamela Peak will review the results from the labs that were ordered along with your Case Review paperwork, medical history, diet and supplement survey, assessment forms and relevant prior lab work. Then they will create a Report of Findings, which is broken into three parts:

  • A summary of the underlying patterns that are contributing to your symptoms.
  • An outline of the suggested treatment plan, including dietary, supplement and lifestyle recommendations.
  • Recommendations for further testing (this will typically be minimal, if necessary at all, because of the completeness of the Case Review Process).

During your consultation, Dr.’s Dallas or Pamela will present the Report of Findings as well as your treatment plan. They will also review all of your test results with you, discuss the results of your 30 day Reset and answer any questions you have about the findings or the treatment plan.

 

PHASE TWO: Ongoing Treatment

Once the Case Review is complete, you’ll have follow-up appointments on an as-needed basis throughout the remainder of your treatment plan.

The first follow-up appointment generally occurs between six and ten weeks after your Case Review Consultation. At that time, Dr.’s Dallas or Pamela will review your progress on the treatment plan, along with any follow-up test results, and make additional recommendations as necessary.

From there, the frequency of your follow-up appointments will depend upon the severity of your condition as well as your response to the treatment.

You may schedule follow-up appointments in person in our office, or via phone or Chiron video. We ask that you return for an in-person visit at least once per year.

 

 

FEES & COSTS:

Dr.’s Dallas and Pamela Peak

Initial Consult: $95. Includes a 30-minute appointment, Dietary Guidelines and Case Review preparation.

Case Review: $1195. Includes the 90-minute in-person consultation with Dr. Peak , the Physical Examination, and the Report of Findings with treatment program instructions based on the initial testing results.

Regular Follow-ups: $240 for 30 minutes, $340 for 45 minutes, and $400 for 60 minutes.

 

Laboratory Tests

The fee for laboratory tests ordered during the case review process is typically $2500-$5000 depending on complexity of condition and level of diagnostics required. The cost of some testing includes an administrative and/or interpretation fee.

Imaging Tests

The cost for special imaging studies such as those recommended for the ReCODE ™ Protocol evaluation is in addition to the above.

Supplements

The cost for supplements that are prescribed as part of your treatment plan after the Case Review is typically $150-$400 per month. You will have the opportunity to approve or decline the supplements Dr.’s Peak suggest before you are charged for them (after the Case Review Consultation). Some supplements are only sold through practitioners’ offices; most are available from trusted online distributors that we recommend.

 

Grand Total of Case Review Fees

The total you should expect to pay for the entire Case Review process with Dr.’s Peak is roughly $3500 -$5500 plus any imaging.

 

Estimated Costs for Laboratory Tests for Ongoing Treatment

Ongoing lab fees vary considerably depending on the patient and treatment plan, but average approximately $200-$500/month.

 

Estimated Costs for Supplements for Ongoing Treatment

Ongoing supplement costs vary considerably depending on the patient and treatment plan, but average approximately $150-$400/month.

Privacy/HIPAA information:

Peak Health LLC/ICFM is not bound by the traditional privacy requirements in the Health Insurance Portability and Accountability Act (HIPAA) because this office only accepts self-payment. However, Peak Health LLC/ICFM is dedicated to providing reasonable standards of privacy and confidentiality of each patient’s health records.

Peak Health LLC/ICFM is a clinic which may provide training to clinicians and administrative staff who may or may not be employed by Peak HealthLLC/ICFM.  In the course of training, the clinicians and/or administrative staff may have limited or full access to a patient’s health record, for purposes that may or may not involve your care.  All trainees are required to sign a confidentiality agreement to protect the privacy of your information consistent with our Privacy Policy.

 

 

Become a Patient!