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Frequently Asked Questions
Let your patient know about our services and how it might help them, the first 20 min video consult is free of charge and is used to introduce them to Dr. Futch, talk about goals and motivations, decide which tests to order.
Fill out the online referral form (link at top of page) or fax over a referral form to (415) 621-9290. It is helpful to know background such as current medications, supplements, ocular history and current diagnoses, best corrected vision, etc. Include the patients email address/contact information and they will get an invite to book the 20 minute initial video consult, which they can book online. At the end of the initial video consult, should the patient decide to go forward, we take payment and order a genetic test kit and urine analysis, which gets sent directly to the patient's address. They collect samples and mail them off. They have the option to bill the urine lab test to their medical insurance.
Once testing has arrived back from the laboratories (6-12 weeks later) we schedule a 60 minute dedicated video consult to go over the results and discuss a plan. On-going support may be warranted, based on the patient's preferences.
No, the consult is a specialty service, however I have made the price very reasonable, and do not make any profit from testing (I simply pass on the wholesale charge). On the genova laboratory portal, the patient can enter their medical insurance information and there is a way to submit a claim, however we do not coordinate claims directly. If your patient has financial hardship, a monthly payment plan can be arranged. We discuss with each patient that depending on how aggressively they would like to address eye function support, the cost of supplements can vary widely, and the point of testing and investigation is to know more confidently where to prioritize (which pathways may be involved in root cause/progression, most vulnerable, etc)
Wherever possible, the food nutrients and lifestyle adjustments are the first choice as therapeutic tools. However, there is considerable research based on supplementation. These could be nutrients that cannot reach therapeutic levels on food intake alone, or bio-active agents not available from food sources. A common finding in the consult is also which forms of vitamins are best utilized by the body. So supplement (e.g. precise multivitamin) recommendations can be integral to our plan, depending on each individual. Dr. Futch's goal is to provide as much information to the patient so as to guide them and let them decide whether they want to buy supplements based on cost, goals, and their life factors. It is not her desire nor goal to "sell" and make money on specific supplements or products.
In addition to the optometry degree, Dr. Futch has completed more than 30 hours of training in genetic analysis, 40 hours in functional immunology, and 3 years of graduate work at UWS in the Human Nutrition & Functional Medicine accredited program. The courses include Nutritional Biochemistry, Evidence-based Nutrition, Whole Foods Nutrition, Gastrointestinal Imbalances, Detoxification Systems, Immunology, Energy Dynamics, and Hormonal Imbalances. The doctor also earned Nutritional Genomics certification with the American Nutrition Association.