Our team is ready to care for you today for any immediate health issues that come up. We would rather see you here, in your medical home, as we know you best and care most about your long- term health. Please call here first and we will do everything possible to get you treated today. 

These are visits where we work with you to manage your chronic health issues. How often these visits need to happen depends on your particular illnesses and how well they are now controlled. Routine check-ups are recommended if you are taking prescription medication and / or have chronic health problems, such as diabetes or high blood pressure. The frequency of these check ups is based on your medication, health problems and health status. The goal is to actively manage your health conditions to prevent complications and worsening disease. The more proactive you are, the healthier you are. If you have multiple chronic health conditions and take multiple medications you may need to follow up every month. Sometimes these visits can be scheduled together with your wellness every year, but some require seeing your provider more often. Talk with your provider regarding the best follow up schedule for you and your health conditions. Common follow-up appointment schedules are:

Birth Control Pills

• Once per year or more often if indicated

Chronic Kidney Disease

• Every 3 months

Chronic Lung Disease

• Every 3-6 months depending on the severity of your lung disease and medication treatments

Chronic Pain Requiring Narcotic Pain Medication

• Every 3 months

Depression / Anxiety / Stress

• Every 3-6 months if you take prescription medication for any of these conditions, you may be asked to follow up sooner if your medications are being adjusted

Diabetes

• Every 3-6 months

Heart Disease

• Every 3-6 months based on your overall health, medications, and status of your heart disease

High Blood Pressure (Hypertension)

• Every 6-12 months

High Cholesterol

• Routinely every 12 months and more often if needed, if you are taking prescription medication you will need yearly fasting lab tests also to monitor your cholesterol

Everyone should see a primary care provider yearly for a wellness visit. At these visits we spend time getting to know you and your unique needs. We can discuss any testing needed based on your special circumstances. These visits will help give you your healthiest life possible.

A wellness and focuses on preventive health care and screenings. During your wellness visit your provider will review your health and risk factors, discuss recommended health care screenings, labs and immunizations. Your recommendations are individualized based on your health and risk factors. Wellness visits are recommended for men and women, and are often done yearly. Your preventive care schedule may differ from the standard recommendations, talk with your provider about a schedule best for you based on your health.

These are visits for infants and children where we track their growth, give vaccinations, and discuss their development and common health concerns. Typically, we use the following schedule for these visits though some children may need to come in more frequently for concerns. Even when older, children also benefit from once yearly “wellness visits” just as adults do:

• 1-2 weeks after birth
• 1 month of age
• 2 months of age
• 4 months of age
• 6 months of age
• 9 months of age
• 12 months of age
• 15 months of age
• 18 months of age
• 24 months of age
• 5 years old (Kindergarten physical)
• 12 years old (7th grade physical)

Medicare offers an annual wellness visit to individuals who receive Medicare part B. This visit is performed on an annual basis. This visit does not include a physical exam. During this visit your provider or nurse reviews your health history, medications, risk factors, recommended preventive care services, and immunizations. Your provider or nurse will work with you in developing your personalized preventive plan of care.

We also provide other routine physicals needed for various reasons. This physical is different than your wellness visit. We also provide physicals for:

• College physicals
• Employment physicals
• DOT / CDL
• Sports physicals
• School physicals

Dementia is one of the most common health problems affecting older adults. We are excited to offer a new service for dementia beginning in 2020. We now offer a dementia (cognitive impairment) visit. This visit takes approximately 1 hour. During this visit you and your family (or caregiver) will meet with the health care provider to evaluate your memory loss. This includes an evaluation with discussion and questionnaires to identify and discuss current needs, review your medications, review your health problems, and connect you with services and support to help meet your care needs. If you are interested in this, visit please talk with your provider.

If you are traveling overseas and needing immunizations for travel, please call to schedule an appointment. Dr. Settje is the Doctor for travel medicine and immunizations.