
Managing Seniors & Chronic Conditions at Home
Our experienced, board-certified physicians have cared for more than 4,700 families in the comfort of their homes, helping patients stay healthier, more independent, and out of the hospital whenever possible.
Why a Doctor at Your Home Makes a Difference
Fewer Hospital Transports: We treat and monitor many conditions right at home, reducing unnecessary ER visits and hospital stays.
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Personalized Attention: Each visit allows for unhurried, one-on-one time with your doctor.
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Comfort & Convenience: Receive care in a familiar environment without travel or waiting rooms.
We care for a wide range of chronic conditions:
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Heart & Circulation: High blood pressure, heart failure, coronary artery disease
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Lung & Breathing: Asthma, COPD, other chronic respiratory issues, chronic ventilators
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Metabolic & Hormonal: Diabetes, thyroid disorders, high cholesterol
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Neurological: Parkinson’s disease, dementia, Alzheimer’s, neuropathy, Amyotrophic lateral sclerosis, Multiple sclerosis, Lewy body dementia
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Muscle, Joint & Bone: Arthritis, osteoporosis, chronic back pain
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Kidney & Urinary: Chronic kidney disease, prostate conditions, urinary incontinence
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Digestive Health: GERD (acid reflux), irritable bowel syndrome, inflammatory bowel disease
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Mental & Emotional Well-Being: Depression, anxiety, and other mood disorders
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Skin & Wound Care: Diabetic ulcers, pressure sores, other chronic wounds.​
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Special Needs & Developmental Care: Autism spectrum disorders, Down syndrome, cerebral palsy, developmental delays, and other lifelong or acquired conditions requiring individualized medical support.
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How this all fits together
Seniors & Chronic Conditions care is about long-term management of ongoing health needs through your entire life.
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If you are under age 65 and interested in routine checkups, vaccinations, and care for all your immediate or ongoing illnesses, visit our Primary Care page.
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If you feel your needs are greater and may even require advanced medical support, please see our Complex & Advanced Care summary.
What's Included In Your Visit Fee?
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Comprehensive Exam & Decision-Making
A full medical evaluation by a board-certified physician. -
Time on Site
History, physical exam, treatment, and patient education during your visit. -
Specialized Tools
ECG, X-ray, or point-of-care ultrasound if clinically indicated. -
Orders & Coordination
At-home labs and imaging (ultrasound, X-ray, echocardiogram). CT/MRI orders, prescriptions, and referrals as needed. -
Visit Summary & Receipt
Detailed care summary and itemized receipt for your records or insurance submission. -
After-Care Access
24/7 phone access for follow-up questions and interpretation of any labs or imaging ordered using Spruce application on phone, computer, or tablet.

