Services

Focused and in-depth visits

Virtual and in-person care

Shared decision making

Curated resources


WHAT TO EXPECT DURING the initial VISIT

Imagine a medical appointment in an inviting setting where you can tell your story and have a doctor synthesize an assessment and plan that integrates relevant medical information such as:


  • Family History
  • Social History
  • Mental Health
  • Movement and exercise 
  • Nutrition
  • Supplements
  • Sleep
  • Sexual Health
  • Preventive Health


We will have time to answer your questions, address your concerns, engage in shared decision-making and co-develop a plan that works for you. 


The plan may include:


  • Blood work 
  • Imaging
  • Referrals to other specialists
  • Hormonal and Non-hormonal prescriptions
  • Goals for movement, nutrition, sleep, and/or intimacy


The goal is for you to feel more informed and empowered to achieve your wellness goals by the end of your visit.

WHAT TO EXPECT for ongoing care

At the end of your first visit, we will schedule a brief phone check-in for 6-10 weeks after starting any new medications. 


Your treatment plan will depend on how you are feeling and your health goals.   On average, hormone balance is achieved in 2-4 hours of face-to-face time over the course of the first year.


We will schedule your follow-up visits for the right amount of time to meet your needs, whether that be a phone, virtual, or in-person visit.


You will have access to self-schedule or message us through the Patient Portal (ChARM PHR) throughout the year.


Every 12-months, we will meet for an Hormone Strategy Review ($200), at which time Dr. Duncan will coordinate the appropriate number of refills for any prescriptions she provides. You will be billed $40 monthly for 10 months which covers an additional 45 minutes of synchronous care (phone, video, in-person) and unlimited asynchronous messaging.


SCHEDULE A NEW PATIENT APPOINTMENT*

New Patients will receive 3 months of care which includes

  • 80 minutes of synchronous care
  • Initial In-Person or Video Visit (60 minutes)
  • Follow-up Phone Visit (20 minutes)
  • Unlimited asynchronous care
  • Online Patient Portal for messaging Dr. Duncan
  • Lab, imaging, referral and prescription coordination


 Fee schedule - First 3 months - Due at the time of the visit

  • Initial In-person Visit - $400 
  • First Follow-up Phone Visit - $100


After the first 3 months, if you wish to continue care, you will become a member

  • Billed $87.50 monthly for the remaining 8 months of your first year


First year total $1200/year

Subsequent years total $600/year

SCHEDULE A FOLLOW-UP APPOINTMENT*

  • Phone call (20 minutes)

    Intended for brief check-ins and further questions outside of refills


    Fee schedule for phone visits

    • Non-member phone visit- $150
    • Member - $100 (when more time is needed beyond what membership covers*)

    *Membership - Year  2+ covers an additional 45 minutes of synchronous visits throughout the year.  




    SCHEDULE A FOLLOW-UP APPOINTMENT

  • In-Person or Video (30 minutes)

    When more time is needed to address new symptoms or concerns 


    Fee schedule for 30-minute visits

    • Non-member - $250
    • Member - $200 (when more time is needed beyond what membership covers*)

     

    *Membership - Year  2+ covers an additional 45 minutes of synchronous visits throughout the year.  



    SCHEDULE A FOLLOW-UP APPOINTMENT

  • In-Person or Video (60 minutes)

    For more complicated health risks or more in-depth recommendations  


    Fee schedule for 60-minute visits

    • Non-member - $300
    • Member - $250 (when more time is needed beyond what membership covers*)

     

    *Membership - Year  2+ covers an additional 45 minutes of synchronous visits throughout the year.  


*If you established care before September 2025, you will continue to be billed per visit during your first 12 months as a Non-member.  At 12 months, you will be invited to become a Member. 


Membership for established patients covers

  • Annual Hormone Strategy Review (30 minutes - $300 due at the time of the visit),
  • An additional 45 minutes of synchronous time with Dr. Duncan without additional charge over the course of the year,
  • Asynchronous access to Dr. Duncan through messaging, and prescription coordination throughout the year. 
  • You will be billed an additional $300 ($30/month over 10 months) - a total of  $600 for the year.


Reclaim Menopause 

turns 1!

This has been a year of learning, growing, and building relationships. 

Thanks to all of you who shared this journey with me and continue to guide me in improving access to

trusted, compassionate,  and, informed perimenopause & menopause care throughout NH & VT. 



Now offering a membership that provides

transparent budgeting, reliable access & individualized care.   

Membership allows you the comfort of timely support and predictable costs and

offers me the opportunity to deliver the right amount of care  at the right time.

  • First Year Membership benefits


    This first year is foundational as we get to know each other and co-develop a plan that is well educated and highly individualized based on your history, preferences, and goals.   As a member you have access to Dr. Duncan over the year for personalized hormone management, lab interpretation, and prescription coordination


    Includes:


    • Initial 60-min comprehensive consultation and 20-minute follow-up phone visit in the first 3 months

    • Up to 90 minutes of synchronous* follow-up care for the remainder of the year (phone, video, or in-person) 

    • Convenient, unlimited access to asynchronous support through messaging


    *synchronous care occurs when the patient and the provider make a direct real-time connection over the phone, video, or in-person


    Fee schedule - ($1200/First year of care)

    • Initial visit - $400 (due at time of visit)
    • Phone follow-up - $100 (due at time of visit)
    • Membership - $87.50/monthly for remainder of the year (8 months)

  • Year 2+ Membership benefits

    Established patients will be invited to become a member at their next in-person or virtual appointment.    


    Thoughtful, relationship-based care that supports your on-going hormonal needs and long-term wellness goals without needing to book a visit for every small concern.  


    Includes:


    • Annual hormone strategy review  -  30 minutes

    • Up to 45 minutes of additional synchronous follow-up care over the year (phone, video, or in-person) 

    • Convenient, unlimited access to asynchronous support through messaging


    *synchronous care occurs when the patient and the provider make a direct real-time connection over the phone, video, or in-person


    Fee schedule


    Annual Hormone Strategy Review - $300 (due at time of visit)

    Membership - $30/monthly for remainder of the year (10 months)


  • Need more time than membership offers?

    When extra time is needed, members can schedule time with Dr. Duncan


    First year membership covers a total of 150 minutes of synchronous* visits.


    Year 2+ membership covers a total of 75 minutes of synchronous* visits.


    *synchronous care occurs when the patient and the provider make a direct real-time connection over the phone, video, or in-person


    Sometimes more one-on-one time is needed or wanted to manage complicated issues or deep dive into managing wellbeing in midlife.  


    Access care by phone, virtually, or in-person for the appropriate amount of time to meet your specific needs.


    Fee Schedule


    Phone or video visits:  $100/20 minutes

    In-person visists: $150/30 minutes


Let's chat first!

If,  after reading the website, you are still not sure if a Menopause Specialist is right for you,  schedule a brief discovery call.

I am happy to guide you in the right direction based on your individual circumstances

  • Brief Discovery Call

Where & When to Find Me