ALL SERVICES
At The Elm, care is designed to meet you where you are.
Each of our services is rooted in The Dr. Robbins Method™, blending gynecology, hormone therapy, lifestyle medicine, and longevity for comprehensive, physician-led women’s healthcare.
Explore our care pathways below to find the option that best fits your needs.
HOW IT WORKS
At The Elm, we don’t believe in rushed, one-off visits. Women’s health — especially through perimenopause, menopause, and beyond — requires time, trust, and a deeper understanding of the whole picture.
That’s why our care is structured as dedicated programs. Each one is designed to give you longer appointments, direct access to your clinician, and space for thoughtful follow-up. This approach allows us to personalise your plan, adapt it as your needs change, and support you in ways a traditional visit simply can’t.
The result is care that feels calmer, clearer, and truly built around you.
The Elm Signature Health Program
12-Month In-Person Care | Greenwich, CT | Westport, ct
Our flagship in-person program offers comprehensive gynecology, hormone therapy (HT), lifestyle medicine, and weight management when appropriate.
With a dedicated clinician guiding you across the year, you’ll receive unrushed appointments, proactive monitoring, and support for every aspect of midlife health.
MEDICAL WEIGHT LOSS PROGRAM
Tailored for women navigating midlife weight changes, this program combines medical interventions such as GLP-1 therapies with lifestyle and nutritional support.
Our approach addresses the unique hormonal and metabolic challenges of perimenopause and menopause, focusing on safe and sustainable results.
Hormone Therapy Program
6-Month Virtual Care | CT & NY ONLY
A focused program for women navigating perimenopause or menopause, available through secure telehealth.
Over six months, you’ll receive evidence-based hormone therapy, medication management, and follow-ups — giving you safe, convenient, and personalized care from home.
Next Gen Women’s Health Program
12-Month In-Person Care | GynecologIC Care only
Created for younger women in their teens, twenties, and thirties, this program focuses on education, prevention, and early empowerment in women’s health.
With age-appropriate guidance and compassionate care, this program covers everything from contraception and cycle health to mood, sleep, and lifestyle support. It’s designed to help younger women feel confident, informed, and supported as they navigate the early chapters of their health journey.
The Elm Longevity Bar
A La Carte Injection Services
A selection of wellness and longevity injection services curated by Dr. Robbins to optimize energy, cognition, immunity, and cellular health.
From B12 and Vitamin D to NAD+ and glutathione, these services are available as add-ons to your membership or as one-time treatments.
BREAST CANCER SURVIVORS PROGRAM
For women who have faced breast cancer, midlife health can bring unique and complex challenges.
The Breast Cancer Survivors Program at The Elm provides specialized support tailored to this community, offering safe hormone and non-hormone options, bone and heart health monitoring, and compassionate, ongoing care. Our goal is to help survivors rebuild strength, vitality, and confidence in their health with thoughtful, evidence-based guidance.
From the moment I stepped into The Elm, I felt an overwhelming sense of comfort and support.
— AMADNA. WWhat We Stand For
Proactive, Preventative Healthcare
We believe in addressing concerns early, focusing on root causes to protect and optimise long-term health.
Prioritising Quality of Life
Our care goes beyond symptoms — we help women feel their best in energy, mood, weight, and overall vitality.
Integrity
Trust, transparency, and compassion guide every aspect of our practice.
Collaboration
We partner closely with our patients — and with other experts when needed — to provide the most comprehensive care possible.
Cutting-Edge Cellular & Anti-Aging Treatments
We bring the latest science in longevity and cellular health into practical, evidence-based care.
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, NY, and NJ. 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.
