Routine Care and Referrals
Coordinated Care for Better Long-Term Health
At Integrative Health Solutions, our focus is personalized, integrative, and preventive medicine.
Dr. Bronner works with patients to investigate complex symptoms, optimize hormones and metabolism, reduce cardiovascular risk, improve digestive and thyroid health, support healthy aging, and develop individualized treatment strategies.
However, comprehensive healthcare often requires more than one physician.
Routine primary care, preventive screening, urgent medical needs, emergency care, and specialist treatment remain important parts of a complete healthcare plan.
Our goal is to complement—not replace—the care provided by your primary care physician and other healthcare professionals.
The Role of Your Primary Care Physician
Every patient should maintain an ongoing relationship with a primary care physician.
Your primary care physician generally manages routine medical care, preventive screening, common illnesses, vaccinations, and coordination with specialists.
Primary care may include:
- Annual physical examinations
- Routine preventive care
- Vaccinations
- Acute illness evaluation
- Blood-pressure management
- Routine medication management
- General health screening
- Age-appropriate cancer screening
- Coordination of hospital care
- Referrals to medical specialists
Maintaining an established primary care relationship helps ensure continuity of care and access to appropriate medical services when new or urgent health concerns arise.
How Integrative Health Solutions Complements Primary Care
Our practice focuses on areas that may require more time, advanced testing, detailed interpretation, or a highly individualized treatment approach.
Depending on your health concerns and goals, care may include:
- Comprehensive hormone evaluation
- Menopause and perimenopause care
- Testosterone evaluation and treatment
- Thyroid and Hashimoto’s evaluation
- Advanced cardiovascular risk assessment
- Metabolic health and insulin-resistance evaluation
- Weight-management treatment
- Functional and root-cause medicine
- Gastrointestinal and microbiome evaluation
- IBS and SIBO treatment
- Nutritional and micronutrient assessment
- Longevity and healthy-aging medicine
- Precision diagnostics
- Peptide therapy when clinically appropriate
- Regenerative orthopedic treatment
Treatment is designed to integrate with—not compete with—appropriate conventional medical care.
When a Referral May Be Recommended
Some symptoms, laboratory findings, imaging results, or medical conditions require evaluation by a specialist.
When appropriate, Dr. Bronner may recommend consultation with physicians such as:
- Cardiologists
- Gastroenterologists
- Endocrinologists
- Neurologists
- Rheumatologists
- Hematologists
- Oncologists
- Urologists
- Gynecologists
- Orthopedic surgeons
- Dermatologists
- Pulmonologists
- Sleep-medicine specialists
- Mental-health professionals
A referral does not mean that integrative care must stop.
In many cases, specialty care and integrative treatment can proceed together.
Why Collaborative Care Matters
Health conditions often involve multiple systems.
For example:
- Fatigue may involve thyroid function, sleep, hormones, nutrition, metabolism, or chronic illness.
- Erectile dysfunction may involve hormones, cardiovascular disease, medications, stress, or vascular health.
- Weight gain may involve insulin resistance, thyroid function, sleep, hormones, nutrition, or medication effects.
- Chronic digestive symptoms may require both functional evaluation and gastroenterology assessment.
- Cardiovascular risk may require advanced prevention strategies together with cardiology consultation.
Collaborative care allows each healthcare professional to contribute expertise within the appropriate area.
Specialist Referrals and Advanced Findings
Advanced testing may identify findings that require additional evaluation.
Examples may include:
- Significant coronary artery disease
- Abnormal cardiac imaging
- Suspicious masses or imaging findings
- Severe gastrointestinal inflammation
- Significant anemia
- Abnormal neurological findings
- Complex autoimmune disease
- Abnormal bleeding
- Concerning prostate findings
- Significant kidney or liver dysfunction
When these findings occur, appropriate specialty evaluation is an important part of safe and comprehensive care.
Routine Screening Remains Important
Advanced testing does not replace established preventive care.
Patients should continue age-appropriate screening as recommended by their primary care physician and relevant specialists.
Screening may include:
- Blood-pressure assessment
- Cholesterol evaluation
- Diabetes screening
- Colon cancer screening
- Breast cancer screening
- Cervical cancer screening
- Prostate evaluation
- Bone-density testing
- Skin cancer screening
- Immunizations
- Routine physical examinations
Recommendations depend on age, medical history, family history, risk factors, and current clinical guidelines.
Prescription Management
Dr. Bronner manages medications related to the treatments provided through Integrative Health Solutions.
However, the practice may not assume responsibility for all medications prescribed by other physicians.
Examples of medications that may remain under the care of your primary physician or specialist include:
- Complex blood-pressure treatment
- Heart-rhythm medications
- Anticoagulants
- Seizure medications
- Cancer treatment
- Complex psychiatric medication management
- Immunosuppressive therapy
- Specialty neurological medications
Medication responsibility should remain clear so that treatment is coordinated safely.
Urgent and Emergency Medical Care
Integrative Health Solutions is not an emergency medical service.
Do not rely on email, routine telephone messages, refill requests, or scheduled appointments for urgent or potentially life-threatening symptoms.
Call 911 or seek immediate emergency evaluation for symptoms such as:
- Chest pain
- Severe shortness of breath
- Signs of stroke
- Sudden weakness or paralysis
- Severe allergic reaction
- Loss of consciousness
- Severe bleeding
- Major injury
- Suicidal thoughts
- Severe abdominal pain
- Any rapidly worsening or life-threatening condition
Urgent symptoms require immediate evaluation through emergency services or an appropriate urgent-care facility.
What to Do Between Visits
Contact your primary care physician for routine medical concerns that fall outside your treatment plan with Integrative Health Solutions.
Examples may include:
- New infections
- Respiratory illness
- Urinary symptoms
- New skin conditions
- Routine vaccinations
- Acute injuries
- Routine preventive examinations
- General medication concerns
- New symptoms requiring immediate evaluation
Our office can help clarify whether a concern should be addressed by Dr. Bronner, your primary care physician, urgent care, or a specialist.
Sharing Medical Information
Coordinated care works best when all members of your healthcare team have access to relevant information.
Patients are encouraged to provide:
- Updated medication lists
- Current supplement lists
- New laboratory results
- Imaging reports
- Specialist consultation notes
- Hospital records
- Changes in diagnosis
- New medical history
Please inform Dr. Bronner when another physician changes your medications or treatment plan.
A Team-Based Approach to Your Health
The most effective healthcare is often collaborative.
Your primary care physician provides ongoing general medical care.
Specialists provide focused expertise when needed.
Dr. Bronner provides advanced integrative evaluation, personalized treatment, preventive strategies, and support for complex health goals.
Together, these forms of care can create a more complete and coordinated approach to long-term health.
Personalized Care Within a Comprehensive Medical Team
At Integrative Health Solutions, our goal is to help you better understand your health, identify important risk factors, and develop an individualized plan.
We also recognize when routine primary care, emergency evaluation, or specialist expertise is necessary.
By working collaboratively with your existing healthcare team, we can provide more coordinated, informed, and comprehensive care.