At IHC, we view your first office visit as an important beginning to the patient-physician relationship. This initial visit builds the foundation for our mutual commitment to achieving and maintaining your state of wellness. It also provides us with an opportunity to assess your health in an organized and comprehensive manner, and to determine how best to support you.


Currently we participate with many health insurance companies. As a courtesy to our patients we will submit your insurance claims through our billing company. Please bring in your insurance card at the time of your visit. Medicare does not cover office visits at this time.

First Office Visit

This visit is between 45 to 60 minutes in length and consists of an interview detailing your medical and dietary history and a physical examination. This information helps generate a comprehensive treatment plan.

Subsequent Office Visits

Adequate time, approximately 20 to 30 minutes, is given to assess your ongoing plan.

Ongoing Support

We believe strongly in the importance of providing you with easily accessed phone and e-mail support where you can talk directly with Dr. Pram about your immediate health concerns and their management.

Office Hours

Monday - Friday: 10am to 1pm and 3pm to 6pm

Wednesday: Closed

Saturday: 10am to 1pm.


Kindly notify the office 24 hours prior to cancellation. A cancellation fee of $50 will be applied without sufficient notice. We provide water, herbal tea and while you wait.