Frequently Asked Questions

1. Tell me more about Dr. O'Hara

2. Are there other practitioners that you work with?

3. Can you give me some specifics on the practice?

4. How do we arrange an initial visit?

5. What happens during an initial visit?
a. For a child with ASD or complex Neurodevelopmental Disorders?
b. For a child with PANDAS/PANS?
c. For a child with other chronic illnesses (including ADHD, Allergies, IBD, etc.)?
d. For an adult?
e. For a Second Opinion for children or adults?

6. Do you require any additional information other than the questionnaire prior to the initial consultation?

7. What happens after the initial consultation?
a. For a child with ASD or complex Neurodevelopmental Disorders?
b. For a child with PANDAS/PANS?
c. For a child with other chronic illnesses (including ADHD, Allergies, IBD, etc.)?
d. For an adult?
e. For a Second Opinion for children or adults?

8. What is required prior to follow-up appointments?

9. What is Homeopathy?

10. What is Brain Mapping/qEEG?

11. What is Neurofeedback?

12. Will you become my child's pediatrician?

13. If I do not have a peditrician, can you recommend one for my child?

14. Is your practice covered by insurance?

15. What happens if I have to cancel my appointment?

16. What are your fees?

17. What about email correspondence?

18. I am currently working with a practitioner to treat my child, but I would like a second opinion. Do you give second opinions?

Answers to Frequently Asked Questions:

Tell me more about Dr. O’Hara:

Dr. Nancy O'Hara is a board certified Pediatrician. Prior to her medical career, Dr. O'Hara taught children with autism. She graduated with highest honors from Bryn Mawr College and as a member of the Alpha Omega Alpha Honor Society from the University of Pennsylvania School Of Medicine. She earned a Master's degree in Public Health from the University of Pittsburgh. After residency, chief residency and general pediatric fellowship at the University of Pittsburgh, Dr. O' Hara entered general private practice in 1993, and in 1998 began her consultative, integrative practice solely for children with special needs. Since 1999 she has dedicated her practice to the integrative and holistic care of children with neurodevelopment disorders, ADHD, PANDAS/PANS, OCD, Lyme and Autistic Spectrum Disorder. She is a leader in the training of clinicians, both in the US and abroad. Since 2010, she has also been treating and lecturing worldwide about PANS, PANDAS, Lyme and other autoimmune conditions.
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Are there other practitioners that you work with? Yes, there are other practitioners who work with the doctors to provide a full range of consultative services to our patients.

Ms. Lori Coda, MS, SpEd., is a Neurofeedback Specialist and Behavioral and Educational Consultant. www.loricoda.com

Ms. Lauren Lee Stone, PhD, is an advanced BioSet practitioner and Homotoxicologist. www.cornerstoneintegrativecare.com

Ms. Vicki Kobliner, MS, R.D., is a Registered Dietitian. www.holcarenutrition.com

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Can you give me some specifics on the practice?

Dr. Nancy Ohara is a consultative practice which integrates the care of children and adults with neurodevelopmental delays, including Autism Spectrum Disorder and other chronic illnesses through a consultative and individualized approach. I work with patients to integrate their therapies, medications and other interventions in a thorough and holistic fashion. I examine the biochemical, immunologic, environmental and nutritional aspects of a patient’s health and assimilate all of this information in forming an individual protocol for each patient. I also work with children and adults with injuries and inflammation (including Post-Concussive Syndrome). For parents planning conception, I can help you make good quality diet, environmental and lifestyle choices for a healthy pregnancy.
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How do we get started?

  • Please review our website and the FAQ to become familiar with our practice.
  • Complete the appropriate Preliminary Form and email it back to us. This can be found under the “New Patients” tab on the website.
  • Once the doctors have reviewed the Preliminary Form, we will let you know if this practice is right for you and which doctor you or your child will be seeing. Please allow 2 weeks for this process. At that time we will also ask you to complete additional forms to provide us with more comprehensive information.
  • If we feel your needs would be better served elsewhere, we will provide you with other practice names and/ or resources to help you with next steps.

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What happens during an initial visit for a child with ASD or complex Neurodevelopmental Disorders?

The initial consultation will last at least 2-4 hours. We strongly advise that both parents participate in the initial consultation. It is imperative that two adults attend, as well as the child. We also suggest that you bring a snack and other activities for your child as the consult will be lengthy. At the initial consultation, the doctor will review your child’s history, conduct a nutritional physical examination and observe your child’s interactions. The doctor will discuss how they see your child’s history and development as it pertains to a biomedical approach and will present a detailed treatment plan for your child.

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What happens during an initial visit for a child with PANDAS/PANS?

The initial consultation will last at least 1 hour. In addition to the child, it is imperative that at least one parent attend, but we strongly advise that both parents participate in the initial consultation. At the initial consultation, one of the doctors will review your child’s history, conduct a physical examination and observe your child. The doctor will discuss how they see your child’s history and will present treatment recommendations for your child.

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What happens during an initial visit for a child with other chronic illnesses (including ADHD, Allergies, IBD, etc.)?

The initial consultation will last at least 1 hour. In addition to the child, it is imperative that at least one parent attend, but we strongly advise that both parents participate in the initial consultation. At the initial consultation  I will review your child’s history, conduct a physical examination and observe your child. I will discuss how I see your child’s history and will present treatment recommendations for your child.

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What happens during an initial visit for an adult?

The initial office consultation will last at least 1-2 hours. I will conduct a detailed review of the patient’s history, conduct a physical examination and formulate a comprehensive biomedical treatment plan for the patient. Back to Top

What happens during an initial visit for a Second Opinion for children or adults?

The second opinion consultation will last at least 2 hours. For a child, we require the child be present and strongly advise that both parents participate in the initial consultation. At the initial consultation, Dr. O’Hara  will review your or your child’s history and conduct a physical examination. You will be presented with a detailed list of recommendations to consider for treatment (to be discussed with your primary practitioner). This is a one time consultation and there will be no follow-up consultations by phone, office visit or email. There will be no blood drawn or IV medication administered at the time of the second opinion consultation Back to Top

Do you require any additional information other than the questionnaire prior to the initial consultation?

It is important that you include with your submitted materials all supporting privacy and consent forms, as well as any lab tests, evaluations (medical, psychological or therapeutic) or other previous testing done.
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What happens after the initial consultation for a child with ASD or complex Neurodevelopmental Disorders?

We will provide you with a detailed plan, which may include recommendations for new therapies or changes to existing therapies, blood, urine, stool and/or other testing, the use of supplements and medications and possible dietary changes with supporting resources. The first follow-up consultation (which may be via telephone) will be scheduled for approximately 5 weeks after the initial consultation. This will focus on the results of recommended tests and further treatment/ therapy plans. Future follow-up consultations will occur as frequently as needed, but generally take place every 1 to 3 months. Although follow-up consults can be done by phone, patients of the practice must be seen and examined in person by one of the physicians in the office at least once per year. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance. You should not submit invoices for email correspondence to your insurance provider.

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What happens after the initial consultation for a child with PANDAS/PANS?

We will provide you with a detailed plan, which may include recommendations for new therapies or changes to existing therapies, blood, urine, stool and/or other testing, the use of supplements and medications and possible dietary changes with supporting resources. The first follow-up consultation (which may be via telephone) will be scheduled approximately 5 weeks after the initial consultation. Future follow-up consultations will occur as frequently as needed, but generally take place every 1 to 3 months. Although follow-up consults can be done by phone, patients of the practice must be seen and examined in person by one of the physicians in the office at least once per year. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance. You should not submit invoices for email correspondence to your insurance provider.

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What happens after the initial consultation for a child with other chronic illnesses (including ADHD, Allergies, IBD, etc.)?

We will provide you with a detailed plan, which may include recommendations for new therapies or changes to existing therapies, blood, urine, stool and/or other testing, the use of supplements and medications and possible dietary changes with supporting resources. The first follow-up consultation (which may be via telephone) will be scheduled approximately 5 weeks after the initial consultation. Future follow-up consultations will occur as frequently as needed, but generally take place every 1 to 3 months. Although follow-up consults can be done by phone, patients of the practice must be seen and examined in person by one of the physicians in the office at least once per year. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance. You should not submit invoices for email correspondence to your insurance provider.

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What happens after the initial consultation for an adult?

We will provide you with a detailed plan, which may include recommendations for new therapies or changes to existing therapies, blood, urine, stool and/or other testing, the use of supplements and medications and possible dietary changes with supporting resources. The first follow-up consultation (which may be via telephone) will be scheduled approximately 5 weeks after the initial consultation. This will focus on the results of recommended tests and further treatment/therapy plans. Future follow-up consultations will occur as frequently as needed, but generally take place every 1 to 3 months. Although follow-up consults can be done by phone, patients of the practice must be seen and examined in person in the office at least once per year. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance. You should not submit invoices for email correspondence to your insurance provider.

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What happens after the initial consultation for a Second Opinion for children or adults?

We will provide you with detailed recommendations to consider with your primary practitioner; however, this is a one time consultation and there will be no follow-up consultations by phone, office visit or email.

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What is required prior to follow up appointments?

An email update is required one week prior to ALL consultations. The Existing Patient Update Form can be found here. Any lab test results will be emailed to you after you have scheduled the next appointment AND after we have received the update.
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What is Homeopathy?

Homeopathy is an energy based medical therapy that improves patients general level of health by strengthening the internal defense system. It is a powerful form of medicine that focuses completely on the individual rather than on a diagnosis. The patient’s unique physical, mental, and emotional characteristics are taken into account when prescribing the specific homeopathic remedy. Homeopathic remedies are formulated based on the principle that “like cures like” meaning that if the body is given what its suffering from, the body will naturally regain its pure state of health.

All homeopathic remedies are prepared from herbal, mineral, or animal substances that are regulated by the FDA and are made in accordance with Homeopathic Pharmacopoeia of the United States (HPUS). Homeopathy is non-allergenic and has no known drug interactions. This form of medicine has been proven for hundreds of years to be extremely effective in treating mental, emotional, or physical ailments as well as acute and chronic illness. Children and adults alike can benefit greatly from homeopathic care.

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What is Brain Mapping/qEEG?

Please visit www.loricoda.com for more information on Brain Mapping/ QEEG.
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What is Neurofeedback?

Please visit www.loricoda.com for more information on Neurofeedback.
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Will you become my child’s pediatrician?

No. Dr. O’Hara and Dr. Szakacs do not provide primary care. You will continue to see your regular pediatrician or primary care physician, as required when seeing the doctors for consultative care. However, Dr. Wells provides naturopathic primary care, as well as consultative care. If you intend to use Dr. Wells as your primary care physician you must indicate so by filling out the appropriate form here. Dr. Wells does not prescribe pharmaceutical medication. Her integrative primary care includes:

    • Physical Examination: Medical and nutritional physical examinations deemed medically necessary to assist in diagnosis and treatment.
    • Comprehensive Laboratory Testing: Use of laboratory testing to investigate biomedical medical needs to further assist with diagnosis and treatment.
    • Safe and Effective Vaccination Protocols: Includes vaccination education, devising vaccine schedules based on child’s medical history, and individualized immune enhancing protocols. Please understand that Dr. Wells does not administer vaccinations.
    • Nutrition: Use of nutritional counseling and therapeutic diets.
    • Botanical Medicine: Botanical (herbal) substances may be prescribed as teas, alcoholic tinctures, nonalcoholic tinctures, capsules, powders, tablets, creams, salves, or ointments.
    • Homeopathic Medicine: Use of diluted quantities of plant, mineral, or animal substances that strengthen the internal defense system to improve the patient’s general level of health. May be used for acute and/or chronic conditions.
    • Nutraceuticals: Use of vitamin and mineral supplementation
    • Lifestyle Counseling: To improve one’s health the following recommendations may be made: exercise, sleep, stress reduction techniques, etc.
    • Hydrotherapy: Different temperatures of water via hot and cold applications to the body may be used in office or prescribed as home treatments.
    • Counseling: Used to explore the connection between emotional health and physical health

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If I do not have a pediatrician, can you recommend one for my child?

Depending on where you live, we may be able to give you some suggestions.
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Is your practice covered by insurance?

Center for Integrative Health does not accept any insurance and are considered out of network providers. It is your responsibility to contact your insurance company before committing to our program to determine the exact policies of your insurance company. We will, of course, with your permission, provide all of the documentation to you that is required by your insurer. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance. You should not submit invoices for email correspondence to your insurance provider.
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What happens if I have to cancel my appointment?

For the Initial Consultation: Because of the great amount of preparation time required prior to the first meeting or Initial Consultation, we require a minimum of 7 business days advanced notice when canceling. Less than 7 business days notice will incur a cancellation fee of half of the initial consultation fee. The only exception would be for an extreme medical emergency or natural disaster.

For Follow-up Consultations: We require 2 business days notice for follow-up consultations, which includes office visits or telephone consults. You may be charged 50% of the standard fee for any consultation not cancelled within 2 business days of the scheduled appointment.

For Office Procedures and HBOT:

We require 1 business day notice for cancellation of office procedures, including infusions and blood draws. We reserve the right to charge you 50% of our standard fees for scheduled procedures. If you cancel and do not reschedule an IV appointment or do not cancel and do not show up, you will be charged for the IV, as each IV is individually ordered and drawn for each patient and we cannot use it for another patient.

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What are your fees?

Fees are based upon the type of service provided. Payment for all consultations or procedures is due at the time of the visit. Our current fees are as follows (as of January 1, 2018):

Description of Appointment Doctor Fee
Initial Pediatric Consultation for Children with ASD or complex Neurodevelopmental Disorders

Dr. O'Hara

$1,500
Initial Pediatric Consultation for Children with ASD or complex Neurodevelopmental Disorders

Dr. Wells

$750
Initial Pediatric Consultation for Children with PANDAS/PANS Dr. O'Hara $1,200
Initial Pediatric Consultation for Children with chronic illnesses or disorders (including ADHD, ADD, Allergies, etc.)

**at the discretion of the practitioner**

Dr. O'Hara $900
Initial Pediatric Consultation for Children with chronic illnesses or disorders (including ADHD, ADD, Allergies, etc.)

**at the discretion of the practitioner**

Dr. Wells $625
Initial Consultation for Adult with ASD or complex Neurodevelopmental Disorders Dr. Szakacs $1,500
Initial Consultation for Adult with ASD or complex Neurodevelopmental Disorders Dr. Wells $750
Initial Consultation for Adult with chronic illnesses or disorders (including ADHD, Allergies, IBD, etc.) Dr. Szakacs $1,200
Initial Consultation for Adult with chronic illnesses or disorders (including ADHD, Allergies, IBD, etc.) Dr. Wells $625
Second Opinion Consultation Dr. O'Hara or Dr. Szakacs $1,000
Follow-up Consultation* Dr. O'Hara $495/hr or part thereof
Follow-up Consultation* Dr. Szakacs $475/hr or part thereof
Follow-up Consultation* Dr. Wells $275/hr or part thereof
Multiple or Extensive Email Correspondence(billed monthly) Dr. O'HaraDr. Szakacs

Dr. Wells

$400/hr or part thereof at the doctor's discretion

* Consultations may be in person or by telephone with a minimum billing increment of 5 minutes. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance.
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What about email correspondence?

You may find that email is the best way to contact us. Every month or so you will receive an invoice for the doctor’s time spent on email, at the doctor’s discretion. If these are brief or infrequent emails, there will be no charge. Email contact with the physicians is a non-covered service under insurance company policy. These fees will be directly billed to the patient and the fees are recognized by the patient as their responsibility. You should not submit invoices for email correspondence to your insurance provider.
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I/we are currently working with another integrative practitioner for treatment, but I would like a second opinion. Do you give second opinions?

Yes, we do. Please click here for more information.