The Elm Signature Health Program
12-Month In-Person Care | Greenwich, CT | Westport,CT
This is The Elm’s most comprehensive service: a year-long program designed for women who want more than a one-time visit. With Emilee Bischof, WHNP-BC or Lauren Fogarty, PA-C, as your dedicated clinician, you’ll receive ongoing care that blends gynecology, hormone therapy (HT), lifestyle medicine, and weight management (when appropriate) into one seamless plan.
Our approach is proactive, personalized, and designed to evolve with you — because women’s health in midlife requires more than quick visits and one-size-fits-all solutions.
Who Is This Program For?
This program is designed for women who want a dedicated partner in their health — not just a quick appointment. It’s ideal if you’re in midlife and looking for in-person care in either Greenwich or Westport, CT that goes beyond the basics.
With this program, you’ll have:
In-person access to a dedicated clinician for comprehensive exams and ongoing support
Personalized hormone therapy (HT) and preventive care tailored to your stage of life
Continuous guidance on everything from weight changes to sleep, mood, and long-term wellbeing
How This Program Elevates Your Care
At The Elm, we understand it can feel natural to look for a single appointment to “fix” what’s going on. But women’s health — especially in midlife — is rarely that simple. Quick visits don’t allow enough time to explore the full picture of your symptoms, review your history, or create a safe plan that truly works long term.
That’s why our care is structured as a 12-month program. It gives you the time, continuity, and access you deserve — so we can move beyond short-term fixes and build lasting health together.
Extended Appointments
Plenty of time for thoughtful conversation, in-depth review of your health, and detailed planning tailored to you.
Gynecology + Preventive Care
Unrushed annual exams and screenings to monitor your long-term health and catch concerns early.
Personalized Hormone Therapy
Evaluated and adjusted as needed, supporting symptom relief, bone and heart health, sexual wellbeing, and long-term vitality.
Weight Management (as needed)
For women navigating metabolic and hormonal changes in midlife, medication-based weight support is integrated into your plan when clinically appropriate.
Root-Cause Approach
Rather than masking symptoms, we take time to understand your history, lifestyle, and goals to address the full picture of your health.
Continuous Support
Direct communication with your clinician between visits so you always feel guided and supported.
Specialist Coordination
Seamless collaboration with other experts when additional care is required.
What Your 12-Month Program Includes
Comprehensive Consultation & Annual Exam
One-hour in-person initial consultation with full health history and goal setting
45-minute annual wellness visit with preventive screenings and breast health review
Ongoing Medical Touchpoints
30-minute telehealth follow-up two weeks post-annual visit to review labs and treatment plan
Three additional 30-minute telehealth visits across the year for progress checks and adjustments
Four 30-minute phone check-ins for continued guidance and accountability
Foundational & Preventive Care
In-office lab collection for seamless testing
Personalized hormone therapy management, including prescriptions and regular monitoring
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
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)
Eligibility for additional Elm specialty programs such as Medical Weight Management or Breast Cancer Survivorship Care
BENEFITS
PERSONALIZED ATTENTION
We intentionally limit patient numbers so every member receives the time, access, and responsiveness true personalized care requires.
ROOT-CAUSE APPROACH
Instead of masking symptoms, we take the time to understand your history, lifestyle, and goals — treating the whole picture for lasting results.
LONG-TERM WELLNESS
Membership creates continuity: regular monitoring, proactive adjustments, and steady guidance that evolves with you.
TIMELY SUPPORT
With a membership you have direct access to your clinician for urgent concerns, so you never feel left waiting when it matters most.
MEET YOUR IN-PERSON MEMBERSHIP CLINICIANS
EMILEE BISCHOF, WHNP-BC, MSCP
BOARD-CERTIFIED NURSE PRACTITIONER
Emilee specializes in midlife women’s health with a warm, calming approach that makes even the most complex health conversations feel clear and manageable. She is extensively trained in The Robbins Method™ and certified by The Menopause Society. Patients describe her as both deeply compassionate and clinically precise.
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Emilee first earned her Bachelor’s in Business from Sacred Heart University before pursuing her passion for nursing at the University of Connecticut. She went on to complete a Master of Science in Nursing in Women’s Health at Kent State University, combining her diverse background with a strong clinical foundation in midlife women’s care.
“Midlife isn’t a decline—it’s a rebrand. A chance for growth, reinvention, and powerful beginnings.”
LAUREN FOGARTY, PA-C, MSCP
BOARD-CERTIFIED PHYSICIAN ASSISTANT
Lauren is a certified Physician Assistant with a strong background in obstetrics and gynecology. She earned her Master of Medical Science from the Emory University School of Medicine Physician Assistant Program and also holds a Master of Public Administration from New York University. Her training reflects a dual commitment to clinical excellence and systems-level understanding of healthcare delivery.
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Lauren has provided care across both private practice and community health settings. Her experience includes working in a women’s health practice in Atlanta and serving patients at a nonprofit clinic in St. John, U.S. Virgin Islands. This breadth of clinical work has shaped her deeply patient-centred approach and her belief in care that is both rigorous and compassionate.
INFORMATION + FEES
The program is designed as a full year of personalized, ongoing care. This structure ensures you receive the time, depth, and continuity that one-off visits simply can’t provide.
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Annual exam, preventive screenings, follow-up visits, medication management.
Procedures are separate cost outside of the annual fee
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Medications, labs, imaging, and a-la-carte therapies (such as IV infusions) are billed separately, typically through your insurance.
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We do not participate with commercial insurance in order to protect longer visits and greater access. Superbills are provided for annual exams and procedures, which you may submit to your insurer for possible reimbursement.
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A comprehensive, relationship-based model of care that prioritizes continuity, personalization, and proactive wellness.
Enhanced Access With Your Program
As part of this program, you also have exclusive access to The Elm’s specialized services designed to complement your core care.
THE ELM LONGEVITY BAR
Cutting-edge injection therapies curated by Dr. Robbins to support energy, cognitive clarity, immunity, and cellular health.
MEDICAL WEIGHT LOSS PROGRAM
Tailored support for women combining lifestyle guidance with medical therapies to address the unique hormonal and metabolic challenges of midlife.
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.
