My practice is designed for women seeking personalized care for hormone health, metabolic health, and overall wellness, with a special focus on the changes of midlife.

Common areas of care include menstrual cycle concerns, perimenopause and menopause, sexual health, weight management, body composition, sleep, energy, nutrition, and strength.

My approach combines evidence-based medical care with practical nutrition and lifestyle strategies. Treatment may include hormone therapy, medication management, targeted testing, and supplements when appropriate.

If you're looking to better understand your health and take meaningful steps toward feeling your best, this may be a great place to begin.

Your Initial Health Consultation is a comprehensive 60-minute visit dedicated to understanding your health and what matters most to you.

We'll discuss your symptoms, health history, and goals, review relevant previous labs, and explore what may be contributing to how you're feeling. Together, we'll develop a personalized plan with clear, practical next steps.

If you're ready to move forward and we agree that ongoing care is a good fit, you can begin your Focused Care Membership during this visit. Once the necessary agreements and consents are completed, we can begin implementing your plan, including prescriptions, lab testing, or other recommendations when appropriate.

Yes! When appropriate, I prescribe menopausal hormone therapy as part of an individualized care plan.

Hormones aren't the starting point for everyone. We'll consider your symptoms, health history, lifestyle, and relevant clinical information to determine whether hormone therapy may be a helpful option.

If prescribed, ongoing follow-up allows us to monitor your response and make appropriate adjustments over time.

Not for your Initial Health Consultation. This is a standalone visit where we explore your concerns, develop a plan, and determine your next steps.

However, if you want ongoing medical care, prescription management, and continued support through my practice, enrollment in a Focused Care or Ongoing Care Membership is required.

We'll discuss the best option for your needs before moving forward.

As your first six months come to an end, we'll look at the progress you've made and decide together what makes the most sense for you.

Some women benefit from another six months of Focused Care, while others are ready to transition to Ongoing Care for continued support with fewer visits.

There's no automatic commitment to another six months. You'll have the opportunity to choose how you'd like to move forward, and memberships can be canceled at any time.

If you're receiving prescriptions through my practice, you'll need to continue in a membership so we can safely manage your treatment and monitor your progress.

Ami Swanson Wellness PLLC is a cash-pay practice and does not bill insurance directly. This allows me to offer personalized care with transparent pricing.

HSA and FSA cards are accepted, although eligibility depends on your plan.

A superbill may be available for eligible fee-for-service visits for possible out-of-network reimbursement. Reimbursement is not guaranteed. Membership fees are not eligible for superbills or insurance reimbursement.

Lab testing costs are separate from consultation and membership fees unless otherwise specified.

If you've had recent lab work, we'll review those results first. Additional testing is recommended only when it helps answer a meaningful clinical question or guide your treatment plan.

My goal is to be thoughtful and selective, avoiding unnecessary testing whenever possible.

No. My practice provides focused care for midlife women's health, including hormone and metabolic concerns, rather than comprehensive primary care.

I encourage patients to maintain an established primary care provider for preventive care, urgent concerns, and medical needs outside my scope of practice.

When additional evaluation or specialized care is needed, I'll help guide you toward appropriate next steps when possible.

Yes! Appointments may be offered in person or virtually.

For telehealth appointments, you must be physically located in Iowa at the time of your visit.

Between visits, established patients can communicate through the secure patient portal for questions and support related to their care, according to their membership.