Peter E. Palacio, MD, FACOG

• The Program is not insurance.
• The fee for the Women’s Health Annual Wellness Program covers only the annual wellness services specified in the patient membership agreement as detailed below.
• All other services outside the scope of what is covered by the Annual Fee as defined in the patient membership agreement are the patient’s financial responsibility.
• The Annual Fee can be paid annually, semi-annually or quarterly.
• If you or your Affiliated Physician terminate the agreement for any reason prior to receiving the annual wellness services, you will be entitled to a prorated refund of the Annual Fee. If you have received your annual wellness services, you will not be eligible for a refund, and you will be responsible for the balance of the Annual Fee.
• The Department of Consumer and Business Services issued a certification to this practice. You can contact consumer advocates at the Department of Consumer and Business Services at (888) 877-4894, dcbs.insmail@state.or.us or www.insurance.oregon.gov.
• The annual wellness services included in the Program include a Personal Health Record and Women's Health Annual Wellness Program including wellness counseling and all or some of the following wellness screenings and diagnostics as determined to be appropriate for you by your MDVIP Affiliated Physician.

MDVIP WOMEN'S HEALTH WELLNESS PROGRAM

• Pelvic and Transvaginal Ultrasound

  This test will allow your doctor to see your bladder, cervix, uterus, fallopian tubes, and ovaries to determine if there are any abnormalities.

• Pure Tone Audiogram

  Allows the physician to screen for hearing loss and to help establish the origin, whether from involvement of the auditory apparatus or secondary to nerve involvement.

• Beck Anxiety Inventory

  Depression and anxiety can be subtle and missed as the cause of, or a component of, many diseases. This allows the physician to screen early when the potential effects can be prevented or easily treated.

• Bladder Function (Postvoid Residual Measurement)

  Your doctor will determine if your bladder is emptying properly to look for causes of urinary retention or incontinence.

• Epworth Sleepiness Scale

  Screening to help determine disorders which can range from mild to life-threatening.

• Female Sexual Function Screening

  Screening that assists the physician in identifying whether a patient is experiencing sexual dysfunction so that treatment options can be discussed.

• Mood Disorder Questionnaire

  Screening that assists in identifying Bipolar Spectrum Disorder which includes Bipolar I, Bipolar II, and Bipolar NOS.

• Pulmonary Function Testing (Spirometry)

  Pulmonary function screening is utilized to determine how well the patient’s lungs and airways are working. Analysis of this testing allows for early intervention as well as assessment of the severity of pulmonary disease states.

• Ankle-Brachial Index

  This is a measurement that will screen a person for peripheral vascular disease. If present, this value will give the physician an indication of the severity of the disease so the physician can treat accordingly.

• Grip Strength

  Grip strength is central to both frailty and sarcopenia (muscle deterioration) and can assist in identifying patients who may be at an increased risk for cardiovascular disease as well as fall risks and cognitive decline.

• Gait Speed

  Gait speed allows the physician to effectively assess a patient’s mobility in order to identify patients who may be at an increased risk for falls, functional impairments, and cognitive decline.

• Comprehensive Visual Screening

  Allows the physician to assess visual acuity, muscle balance, depth and color perception and peripheral field to screen for visual problems and tumors.

• Online Lifestyle Exercise Modification Program

  Online tool that provides detailed exercise guidance on the purpose, proper form and contraindications of each exercise, including personalized workouts that are tailored for the individual.

• Body Composition Analysis

  Utilizing the latest in technology, this analysis includes basal metabolic rate to help guide and monitor weight management.

• Online Healthy & Disease State Meal Planning Program

  The meal plan identifies patients’ nutritional needs, as well as their current weight and weight goal (lose or maintain). Based on the selections, the physician and patient use the program to develop a daily caloric intake plan with four weeks of meals, shopping lists and recipes.

ANNUAL WELLNESS PANEL

• Amethyst MDVIP AWP - Women’s Health Panel

  Myeloperoxidase, Hemoglobin A1c, Vitamin D, Thyroid Stimulating Hormone (TSH), Advanced Lipid Assessment (LDL-C, HDL-C, Triglycerides, Non-HDL-C, ApoB, and Total Cholesterol), Follicle Stimulating Hormone (FSH), Total and Free Testosterone, HDL Function Panel w/ HDLfx Score