Primary Care (Direct Primary Care Model)
Direct Primary Care means:
This allows time for education, discussion, and thoughtful decision-making.
- Longer visits (45–60 minutes when needed)
- Direct access to your physician
- Transparent monthly pricing
- No insurance billing barriers
This allows time for education, discussion, and thoughtful decision-making.
Gender-Affirming Care for Adults
Gender-Affirming Care
- Hormone therapy (HRT)
- Lab monitoring
- Body composition analysis
- Surgical referral coordination
- Insurance guidance
- Ongoing health tracking
HIV Care
HIV Care
- HIV management & monitoring
- New medication guidance
- Pre-exposure prophylaxis (PrEP)
- Post-exposure prophylaxis (PEP)
- Newly diagnosed patient education
- Connection to national treatment updates
Sexually Transmitted Infections (STI)
STI Services
- Routine STI screening
- Self-swab kits (pickup at the office)
- Discreet lab coordination
- Partner notification support
Health at Every Size
A health-focused, stigma-free approach.
Services include:
It is about metabolic health and understanding your body.
Services include:
- InBody composition analysis (fat mass, muscle mass)
- Metabolic lab review
- GLP-1 medications (including newer oral options when appropriate)
- Lifestyle counseling
- Weight management
- Body image discussions
- Inflammation and hormone education
It is about metabolic health and understanding your body.
DIRECT PRIMARY CARE (DPC)
Direct Primary Care allows Dr. Pat to:
- Spend 45–60 minutes per visit when needed
- Provide direct email communication
- Offer timely scheduling
- Avoid rushed 10-minute appointments
COMMUNITY & PARTNER PHYSICIANS
The practice collaborates with community physicians and nurse practitioners and may expand over time.
Natural referral partnerships include:
Natural referral partnerships include:
- LGBTQ+ mental health providers
- Surgeons specializing in gender-affirming procedures
- Community HIV specialists
- Nutrition and body image specialists
- Lab partners
New Patients
Now accepting new patients (limited availability). Please reach out to us via the contact form on the contact page. There is asks for things like your name, email address and phone number so that you are able to have a 1:1 conversation with Dr. Vigil.