Approach
We look before we leap.
The best hormone and longevity clinics share a sequence: intake, comprehensive labs, a prepared visit, then a protocol that is retuned. That is the sequence here — without a membership maze or a revolving door of staff.

01
Request a consult
Share what you are hoping to address. We reply within 72 hours with next steps and a transparent estimate.
02
Intake and labs
A thorough history, your goals, and the markers most clinics skip. We look before we treat.
03
An unhurried visit
In Billings or by telemedicine for follow-up. Time enough to explain the plan in language you can use.
04
Recalibrate
Doses, lifestyle, and labs are adjusted to how you feel — not to a one-size protocol.
What patients notice
The same clinician. Every visit.
You are not handed off to a rotating portal team. Sarah reads the labs, sits in the visit, and answers the follow-up.
Emergency-trained, optimization-focused.
Fifteen years across emergency, acute, and family care — plus Advanced BHRT certification through WorldLink Medical. She still covers rural and Critical Access Hospital emergency departments, hospitalist service, and step-down ICU as a contract provider with Wilderness Medical Staffing. Safety and nuance in the same room.
Labs and a story before a prescription.
We do not treat a single number. Intake, history, and comprehensive labs come first so the protocol fits your physiology.
Clear costs. We do not bill insurance.
This is a self-pay practice. We do not bill insurance. You receive estimates before you book, and time is billed honestly.
Benedictine roots
Sarah utilizes Benedictine values from her University of Mary formation to foster a nurse practitioner–patient relationship that respects spiritual integrity, human dignity, and cultural diversity — and exists to improve outcomes together. The room is medical. The posture is human.
Begin with a conversation.
Share what you are hoping to change. We will reply within 72 hours with next steps and a clear estimate.