Frequently Asked Questions
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.
Are there other practitioners that work with Dr. O’Hara?
Yes, there are other practitioners who work with Dr.O’Hara to provide a full range of consultative services to our patients.
Ms. Vicki Kobliner, MS RDN, is a Registered Dietitian. www.holcarenutrition.com
Lindsey Wells, ND is a naturopath who offers primary & consultative care www.lindsaywellsnd.com
Can you give me some specifics on the practice?
Dr. Nancy O’hara is a board certified pediatrician who integrates the care of children together with Vicki Kobliner, MS RDN and Lindsey Wells, ND. Their functional medicine approach for children with neurodevelopmental delays, including Autism Spectrum Disorder and other chronic illnesses is a consultative and individualized one. Dr. O’Hara works with patients to integrate their therapies, medications and other interventions in a thorough and holistic fashion. She examines the biochemical, immunologic, environmental and nutritional aspects of a patient’s health and assimilates all of this information in forming an individual protocol for each patient. For parents planning conception, she, together with Dr. Wells and Ms. Kobliner can help you make good quality diet, environmental and lifestyle choices for a healthy pregnancy.
How do we get started?
• Complete all appropriate questionnaires and forms located in the New Patient Portal. This can be found under the “New Patients” tab on the website.
• Once Dr. O’Hara has reviewed the questionnaires and forms, we will let you know if this practice is right for you and which practitioner you or your child will be seeing. Please allow 2 weeks for this process. At Dr. O’Hara’s discretion, you may be invited to see Dr. Wells or Vicki Kobliner. If so, together with your practitioner, you can then see Dr. O’Hara every 4th visit.
• 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.
What happens during my initial visit with Dr. O’Hara ?
The initial consultation will last at least 2-3 hours. It is imperative that your child is present and we strongly advise that both parents participate in the initial consultation. Both parents must sign all consents and be fully participating in their child’s care with our office. If your child needs supervision, it is also imperative that two adults attend. We also suggest that you bring a snack and other activities for your child as the consult will be lengthy. At the initial consultation, Dr. O’Hara will review your child’s history, conduct a nutritional physical examination and observe your child. Dr. O’Hara will discuss how she sees your child’s history and development as it pertains to a functional medical approach and will present a detailed treatment plan for your child.
What happens during an initial visit for a Second Opinion for children?
- 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 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.
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 through the portal all supporting privacy and consent forms, as well as any lab tests, evaluations (medical, psychological or therapeutic) or other previous testing done.
What happens after the initial Consultation?
- 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 Dr. Ohara in the office at least once per year.
Please note that if you initially see Dr. Wells or Ms. Kobliner, if you choose to also consult with Dr. O’Hara after the 4th visit, you and your child must be seen in the office for this visit.
Please also note that for all office visits you may 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.
What happens after the initial consultation for a Second Opinion?
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.
What is required prior to follow up appointments?
An update is required one week prior to ALL consultations. The Existing Patient Update Form can be found here (in the Patient Portal). Any lab test results will be available on the Patient Portal after you have scheduled the next appointment AND after we have received the update.
Will Dr. O’Hara become my child’s pediatrician?
No. Dr. O’Hara does not provide primary care. You will continue to see your regular pediatrician or primary care physician, as required when seeing Dr. O’Hara 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 practitioner you must indicate so by filling out the appropriate forms on your portal. Dr. Wells does not prescribe pharmaceutical medication.
Dr Wells’ 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
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.
Is your practice covered by insurance?
Dr. O’Hara does not accept any insurance and is considered an out of network provider. 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.
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: 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.
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 October 1, 2018):
|Description of Appointment||Fee|
|Initial Pediatric Consultation for Children with ASD or ANY complex Neurodevelopmental Disorders such as PANDAS/PANS/Lyme||$1,500|
|Initial Pediatric Consultation for Children with chronic illnesses or disorders (including ADHD, ADD, Allergies, PANS/PANDAS, Lyme, etc.)
**at the discretion of the practitioner**
|Second Opinion Consultation||$1000|
|Consultation every 4th visit with Vicki Kobliner, MS RDN or Lindsey Wells, ND*||$500 (Dr. O’Hara fee; this is a one hour visit with both practitioners; other practitioner’s fees will also apply)|
|Follow-up Consultation** with Dr. O’Hara (for her patients)||$495/hr or part thereof|
|Multiple or Extensive Email Correspondence (billed monthly)||$500/hr or part thereof at the doctor’s discretion|
* Consultations for patients of Dr. Wells or Ms. Kobliner who together with their practitioner choose to also see Dr. O’Hara every 4th (or more) visit need to plan an office visit with both practitioners for this visit (NO exceptions). The fees for this visit include that of your practitioner as well as a $500 fee for Dr. O’Hara’s consultation and recommendations. Please note that Dr. Wells and Ms. Kobliner are exceptionally trained and experienced practitioners and Dr. O’Hara highly recommends them to you. Also, keep in mind that the general fees for Dr. Wells and Ms. Kobliner are available on their individual websites.
** Consultations for Dr. O’Hara’s ongoing patients 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.
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 Dr. O’Hara 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.
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.