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Medical Desk Essentials

Comprehensive Care Membership

Membership-based primary care for Wisconsin adults managing multiple complex conditions. Priority scheduling, coordinated care, and physician oversight that doesn't end with a 15-minute visit.

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Precision Care for Lifelong Independence

Dr. Safa Shiari, board-certified Internal Medicine and Obesity Medicine physician, founder of Present Future Health

Who This Membership Is For

Comprehensive Care Membership is designed for patients who benefit from:

  • Management of multiple chronic conditions (heart disease, hypertension, diabetes, obesity, liver disease (MASLD), chronic kidney disease (CKD), thyroid disorders, osteopenia/osteoporosis, atrial fibrillation (AFib), post-bariatric medical management, autonomic or chronic GI symptom clusters)

  • Ongoing medication titration or treatment adjustments based on clinical progression

  • A care model built to lower the risk of avoidable hospital admissions through consistent monitoring and early intervention

  • Priority scheduling and consistent physician oversight

  • Protected time for questions, planning, and clinical guidance without fragmentation

What is included

  • Priority scheduling (same-week or accelerated when clinically appropriate)

  • Physician-led monitoring and medication oversight

  • Care coordination (labs, imaging, prescriptions, referrals, specialist communication)

  • Direct messaging access to your physician for non-urgent medical questions (typical response within 24–48 hours on business days)

  • Personalized care plans adjusted to clinical needs and progress

  • Visit cadence customized to stability and goals (monthly or as clinically indicated)

  • Intentional use of medications when they improve outcomes, prevent complications, or enhance daily function

  • Sustainable nutrition and movement-centered foundations to preserve strength, mobility, and independence

Important: Messaging is for non-urgent medical questions only. For emergencies — chest pain, stroke symptoms, severe injuries, or any life-threatening concern — call 911 or go to your nearest emergency room. Telemedicine is not a substitute for emergency care.

What's not included

  • Emergency services or crisis-level care

  • Inpatient or hospital-based management

  • Lab or imaging fees (paid directly to facilities)

  • Specialty consult costs outside PFH

Monthly membership rate: $425
Founding Member Rate: 10% off, limited to the first 10 enrolled members.
Clinical panel and appointment slots are intentionally limited to preserve depth and timely communication.

​Initial Comprehensive Consultation → Membership Enrollment

 

All patients begin with an initial evaluation appointment for a full medical assessment to establish context and safety.​

 

If you choose to enroll in Comprehensive Care Membership  within 7 days after your initial evaluation, the cost of your initial visit will be applied toward the cost of the first month of your membership.

Membership Terms & Conditions

  • Duration: All memberships are billed on a month-to-month basis with no long-term contract.

  • How to Cancel: To cancel your membership, please send a written notice via email to info@presentfuturehealth.com.

  • Cancellation Policy: We require a 30-day written notice for all terminations.

  • Early Termination Fees: There are no penalties or fees for early cancellation; however, the final month’s dues will be required if the notice is given less than 30 days before the next billing cycle.

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