Primary Care Services                           
To be rendered by or under the supervision of Specialists in Family Medicine, certified by the American Board of Family Medicine:  

• General medical care, both urgent and ongoing, of men, women, and children
• School, work, camp, and  routine physicals.  (Not FAA)
• Vision and hearing screening
• Mental and emotional health
• Breast and pap smear exams
• Birth control
• Sexually transmitted disease exams and treatment
• Newborn care
• Rountine childhood immunizations
• Diseases of the skin
• Treatment of burns, lacerations and non-displaced fractures
• Excision or biopsy of suspicious skin lesions
• Treatment of warts
• Drawing blood or taking of other lab specimens
• Hospital care by the Family Physician (if a particular physician attends hopitalized patients)
• Basic urine testing, vaginal smear, urine microscopy, pregnancy tests, ECG

Excluded: vasectomy, colposcopy, sigmoidoscopy (may be offered for a fee),  consultations by other specialists (including pathologist or radiologist).

Laboratory and X-ray Services

For an additional $20.00 per month ($10.00 per child under 18), laboratory and x-ray services may be added to your Primary Care services, if available in the office of the physician selected.

• CBC (Complete Blood Count)
• Glucose, electrolytes, liver enzymes (ALT, AST), kidney screening (BUN, creatinine), uric acid, HgbA1-C
• Hepatitis ABC screening
• Chlamydia and Gonorrhea screening
• Standard Chemistry Screening Panels  (Chem 7, 12, basic, comprehensive)
• "Mono" and "Strep" testing (note: pregnancy testing is included in the basic package).
• X-rays of the chest, arms, legs, feet, hands, abdomen, pelvis, hips, spine, neck, and skull

Excluded (may be offered for a fee): cultures of urine or blood, tissue studies by a pathologist, HIV testing and other tests seldom required or not typically available in a doctor's own laboratory. Other x-rays not listed due to complexity or the necessary services of a radiologist.

Note: both the inclusions and exclusions listed here are examples only, neither list is exhaustive.  

DirectcareMD • P.O. Box 89, Chehalis, WA 98532 • tel.360.740.0888