Next Gen Women’s Health Program
12-Month In-Person Care | Greenwich, CT
The Next Gen Program is designed for women in their reproductive years who want a trusted partner in their gynecologic and overall health. Whether you're managing your menstrual cycle, exploring contraception, planning for pregnancy, addressing sexual wellness concerns, or simply looking for personalized preventive care, this program emphasizes education, prevention, and proactive care to help you build a strong foundation for lifelong wellness.
Our clinicians' warm, approachable style makes even the most sensitive topics feel comfortable to discuss, empowering you to take charge of your health early and with confidence.
Please note that while we provide preconception counseling and fertility planning, we do not provide prenatal or obstetric care.
Who Is This Program For?
Designed primarily for women in their teens, 20s, and 30s, this program focuses on personalized gynecologic, preventive, and reproductive healthcare rather than the evaluation and treatment of perimenopause or menopause symptoms. It's especially valuable if you're:
Looking for clarity and confidence around contraception and reproductive health
Managing conditions such as PCOS or irregular cycles
Wanting preventive care and screenings delivered in a supportive environment
SERVICES OFFERED
Comprehensive Consultation & Annual Exam
One-hour in-person initial consultation with full health history and goal setting
60-minute annual wellness visit with preventive screenings and breast health review
Ongoing Medical Touch-points
30-minute tele-health follow-up two weeks post-annual visit to review labs and treatment plan
Three additional 30-minute tele-health visits across the year for progress checks and adjustments
Four 30-minute phone check-ins for continued guidance and accountability
Foundational & Preventive Care
Cervical cancer screening (Pap smears) and HPV testing
Contraception counseling and education
Lifestyle counseling emphasizing proactive wellness and healthy habits
Menstrual health and irregularities guidance
PCOS management and support
Weight management support when appropriate (including GLP-1 therapies, nutrition guidance, and medication adjustments)
Access & Support
Unlimited secure messaging with your clinician for timely questions and peace of mind between visits
In office lab collection
Direct coordination with specialists and referrals as needed, so your care stays connected and comprehensive
Exclusive Program Benefits
Access to The Elm’s Longevity Bar: curated injection therapies for energy, cognition, recovery, and cellular health (billed separately)
MEET YOUR CLINICIAN
SARAH PURCELL, FNP-BC
BOARD-CERTIFIED NURSE PRACTITIONER
Sarah is dedicated to women's health, bringing warmth, compassion, and a deeply personal approach to every patient encounter. She is committed to creating a welcoming, judgment-free environment where women feel comfortable asking questions, learning about their health, and taking an active role in their care.
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Sacred Heart University ‘17 BSN
Sacred Heart University ‘25 MSN-FNP
Before becoming a Nurse Practitioner, Sarah spent 10 years as a Labor & Delivery nurse at Greenwich Hospital and was proud to be part of The Elm team as an RN when the practice opened in 2023. Her experience caring for women during some of life's most meaningful moments shaped her commitment to providing thoughtful, evidence-based care with genuine empathy.
“Your health in your 20s and 30s is about so much more than an annual exam. It’s about creating a foundation that supports you through every stage that comes next.”
FAQS
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We take the time to understand your history, lifestyle, and goals, focusing on root causes rather than masking symptoms. This proactive model promotes long-term wellness, ensuring your care evolves with you and reflects the most current science in women’s health.
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The Elm is a boutique concierge gynecology and hormone therapy practice specializing in women’s health, with a strong focus on perimenopause, menopause, and hormone optimization.
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Our clinical team includes Dr. Alicia Robbins, who oversees our protocols and board-certified nurse practitioners Katherine Clark and Emilee Bischof, alongside RN Sarah Purcell. Each is trained in The Robbins Method™ to ensure consistent, expert-level care.
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Yes. All Elm clinicians are certified by The Menopause Society and bring advanced expertise in midlife women’s health, including bio-identical hormone therapy, testosterone, FDA-approved medications, and longevity treatments.
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We do not participate with commercial insurance, as this would limit the time and access we can offer. However:
– Labs, imaging, and pathology (such as pap smears) are billed through your insurance.
– Superbills are provided for annual visits and procedures, which you can submit for potential reimbursement.
Please note: reimbursement is not guaranteed and depends on your individual plan. -
Your membership includes medication management and lab ordering, but the cost of medications and labs depends on your insurance coverage. Compounded medications or off-label treatments (such as testosterone or GLP-1 therapies for weight loss) are typically out-of-pocket.
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No. Our practitioners are not enrolled in Medicaid or Medicare, so care and prescriptions are managed outside these programs.
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Our Virtual Hormone Therapy Program is fully telehealth-based and available to patients in CT and NY. It includes secure video visits, messaging access, lab coordination, and prescription management.
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Yes. Many of our patients come to us for a second opinion or to transition care. During your initial consultation, we’ll review your current regimen and goals to determine the best next steps.
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Most women in perimenopause or menopause experiencing symptoms such as hot flashes, low libido, sleep disruption, brain fog, fatigue, mood changes, or weight gain are strong candidates. The best way to know for certain is to schedule an initial consultation so we can review your health history and goals.
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Age alone does not rule you out. Our clinicians will review your cardiovascular and overall health profile to assess safety. Many women benefit from hormone therapy well beyond the “ideal window.”
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Book a Complimentary Information Call
Not sure which membership is right for you? We’re here to help.
Every new client at The Elm is invited to begin with a complimentary 15-minute Information Call. This conversation gives you the chance to learn more about our offerings and discover which membership may be the best fit for your care needs.
Who you’ll meet
You’ll speak directly with Karen Retana, Practice Manager at The Elm.
With a background in emergency care and labour & delivery, Karen brings extensive healthcare expertise and a deep dedication to patient experience. She ensures the clinical and operational flow of The Elm is seamless, supporting patients and providers with steady care and precision.During your call, you will:
Learn how our memberships work and what they include
Gain clarity on which option may suit your goals best
Have the opportunity to ask any questions before joining
Important to note:
This call is for informational purposes only. No medical advice will be provided during the conversation. -
We currently welcome patients from Connecticut and New York, with plans to expand to New Jersey, Massachusetts, and Arizona in the near future.
Ready for care that evolves with you?
If you’re new to The Elm, start with a call to our team so we can guide you through your first steps.
Current patients, please reach out to our office to arrange your next visit.
