Welcome, Reader!
This is both a welcome letter for new clients and an update for current and long-standing clients.
First of all, I would like to thank you for entrusting me with the care of your most precious animal friends. I do not take your trust lightly, and I will always treat your animals as I treat my own. I never recommend anything to my patients that I would not use for either myself or my human and animal family members.
In order to continue to offer my services with the level of personalization and individual care that I prefer, I am restructuring my practice to meet the demands of the current state of veterinary medicine and the types of cases that both require or will benefit from my assistance.
Whether I am coming to see you and your animals at your home, consulting with you via telehealth, or you have a brand new healthy puppy or kitten, there will always be questions to ask as conditions change and issues arise.
Due to the nature of the majority of cases I see these days, ongoing coaching assistance and recommendations are required, often for months, sometimes for years, or, for the lucky ones, just a few weeks. I am also seeing a rise in the need for post-emergency consulting to review diagnostic test results, treatment plans, and medications.
For example, a young dog with ongoing intestinal problems such as pancreatitis, inflammatory bowel disease, and dysbiosis may take upwards of 1 to 2 years to rebuild its intestinal microbiome and return to a balanced, healthy state. These cases often require weekly check-ins and adjustments to diet, supplements, and other therapies.
As most of you know, the breadth of knowledge and clinical experience I bring to my cases is fairly unusual in the world of veterinary medicine. I have studied, practiced, and taught many different treatment modalities. I also rely upon my medical intuition and animal communication skills to help me determine the best course of treatment for the animal presenting in front of me.
I am going to share a secret with you. When you ask me a question regarding your animal, I automatically tune in, using my empathic intuition, to help provide the most appropriate answer for your animal and your situation. This applies to the most mundane concerns as well as life-and-death decisions. And it requires an energy expenditure from me that needs to be reciprocated in some form.
I very much enjoy doing this type of work and witnessing the results that arise from it. But to do what is right for you and your animals and to support my own self-care needs financially, emotionally, and physically, I need to adjust my fee structure and scheduling.
I am moving to a concierge-type plan based on some of the new telehealth and triage practice models that support the well-being of the client, patient, and doctor.
I love your questions, and this will allow me to have the time to answer them and help you and your pet!
I am instituting a practice membership plan, which gives you preferential access to my services. This access includes priority scheduling for housecall appointments and telehealth consults, access to text/chat messaging during business hours, and access to different tiers of treatment packages.
All of my services will continue to be offered on an as-needed, à la carte basis, but at a higher rate to encourage you to choose a longer-term commitment to my practice and our relationship.
PLEASE READ BELOW CAREFULLY AND PRINT OUT FOR YOUR RECORDS.
The Membership Fee: $20 per month, $240 billed annually.
Membership benefits include:
- Voxer app access to chat/text features with Dr. Josie.
- Priority scheduling for house calls and telehealth consults.
- Access to 3 tiers of care packages at discounted rates.
- Includes 15 minutes a week of text/chat time on Voxer, which comes to $5 for 15 minutes a week.
- Chat/text will be answered during office hours: 9-6 Monday-Thursday, 9-3 Friday.
- The practice is closed on Saturdays and Sundays as well as certain holidays and vacation periods.
- If the issue is more complicated than can be handled via chat/text, a phone/ZOOM consultation will be scheduled, at the Doctor’s discretion.
- Voxer time may rollover week-to-week but not month-to-month or year-to-year, per the doctor’s discretion. If additional Voxer time is required, the client will be billed $25 per 30 minutes.
- Membership requires an initial consultation, including examination and medical record review to establish a valid patient-client relationship (VPCR).
- Current clients with whom I have already formed a VPCR are automatically eligible. 
- A progress exam/consultation is required every 6 months.
- The client will keep Dr. Josie updated with recent diagnostic test results, treatment plans, and all medications and supplements prescribed or administered by other veterinarians or animal care professionals, They will email medical record updates to: consultwithdrjosie@gmail.com. Failure to do so may result in the termination of the membership and doctor-client relationship.
- The membership fee will be billed annually and automatically renewed on an annual subscription basis until the client cancels it.
- The annual membership fee is nonrefundable.
Treatment Packages (require membership plan)
1. Holistic Housecall packages:
- Acupuncture and/or laser treatments
- Physical Examination + TCVM exam
- Review and adjustment of diet, supplements, and medications.
- House call visits are interchangeable with telehealth consultations.
- 4 treatment sessions, $275 each, for $1100.
- 6 treatment sessions, $250 each, $1500.
- Sessions must be scheduled within 18 months of the purchase of the package.
- Includes unlimited Voxer Chat/Text during business hours.
2. Telehealth Consultation Packages
- Review and adjustment of diet, supplements, and medications.
- Medical record review.
- Diagnostic test review and second opinion.
- Follow-up post-ER visits.
- Initial plus 2 follow-up sessions, 1 hour each $749.
- Initial plus 3 follow-up sessions, 1 hour each, $949.
- 3 follow-up sessions, 1 hour each, $649.
- Sessions must be scheduled within 18 months of package purchase.
- Includes unlimited Voxer Chat/Text during business hours.
Services billed individually
- Housecall Visits including Acupuncture + Laser treatments $300
- Telehealth Initial consult, full record review $375
- Telehealth Progress Consult $250
- Chat/Text ONLY available with an annual membership plan: Text questions regarding cases will only be answered by Voxer access included with the membership plan.
- Clients who are not members must schedule a phone consult, which will be billed according to time: $75 for the first 15 minutes, $100 for half an hour.
IMPORTANT: Chat/Text service is NOT an emergency service and will not be answered after hours. Please take your pet to the emergency room for life-saving treatments, and we can sort out the rest later.
Other Service Details:
Scheduling appointments: text 305-987-8684
Refills of Herbs and Medications: text 305-987-8684
New In-home laboratory service: a team of trained, experienced veterinary technicians comes to you to take blood, urine, fecal samples to submit for diagnostic testing, including blood profiles, fecals, urinalysis, vaccination titers, etc.
Ask Dr. Josie if this new service is available in your area. It is nationwide.
If you have any questions, please text me at 305-987-8684 or email at consultwithdrjosie@gmail.com.
If you are ready to sign up for the membership plan hit the button below. After you submit payment, notify me and I will send you a link to the app. It is super easy to use! You can send files, pictures, all the things!
With many blessings to your animals,
P.S. Stay tuned for more ways you can connect with me!
