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New Patients – Start Here

Thank you for your interest in our services! If you are a new patient interested in Dr. Tummala’s integrated approach to mental wellness, please read the following sections to learn how to make an appointment, prepare for the appointment, and what to expect during your initial appointment and beyond.

If you have further questions, please visit our list of frequently asked questions or contact us.

CALLING FOR AN APPOINTMENT

If you are interested in the holistic approach to mental wellness and agreeable to the terms of Trinergy’s business model, please call our office at (262) 955-6600, Tuesday through Saturday – between the hours of 8am and 5pm; to schedule your initial appointment. Please leave a voicemail with your call back number and our staff will call you back at the earliest possible time. Please note our office is closed on Sunday and Monday.

GENE ANALYSIS

Dr. Tummala recommends genetic testing to understand each person’s specific biochemical needs. Addressing gene influenced biochemical needs can greatly enhance a person’s health. She normally recommends that patients get their genes analysed through commercial websites like 23 & me or ancestry.com. Please be very cautious to not give any undue consents on these websites as these companies are known to share patient gene information to pharma companies. This is the risk involved in going to these companies. However, these companies provide a comprehensive information for a reasonable price and hence Dr. Tummala recommends these companies. Please note that Dr. Tummala does not receive any kickbacks or other forms of remuneration for recommending these companies.”

ADVANCE PAYMENT VIA CC (CREDIT CARD)

Please be advised that full payment of $400 is required prior to your initial integrative psychiatry consultation appointment. A non-refundable fee of $100 is charged on the CC at time of scheduling the appointment. The remaining $300 is charged on the CC 48 hours prior to your appointment with either Vaidya Pandey or Dr Tummala, whichever is earliest. Please review our financial policy form for full details. Payment is received only via a credit/debit card through a secure online CC processing system which is part of Trinergy Health’s electronic health record (EHR – CharmEHR). Valid credit card information is saved on the same secure CC processing system of the EHR for future visits. Potential patients may choose to use their FSA (Flex Spending Account) or HSA (Health Saving Account) credit cards. For cancellation and refund of this initial amount, please review our Financial policy form.

REGISTRATION

The first step towards booking an appointment is registration of the patient in the EHR. During this registration process, you will be working with our Functional Medicine Health/wellness coach, Helena Johnson. Helena offers a complimentary 15 min consultation to all potential new clients to explain our philosophy and what to expect in working with us. Once patients are ready to work with us, Helena will start the registration process by collecting pertinent biographical and medical information (eg: medical history, current medication list, current supplement regimen, allergies, etc). Please have this information handy when you call to schedule your appointment.

Once registered and an appointment has been made, you will receive emails from the EHR to first create and establish your own secure access to the patient portal. Please note that without registration in our system, you cannot have access to the patient portal.

BOOKING THE APPOINTMENT

Appointments are typically booked over the phone after registering you in the EHR. At this time, Dr. Tummala is able to accommodate new clients in her practice within 1-2 weeks of the initial call.

ESTABLISH YOUR PATIENT PORTAL

First of all, rest assured that this EHR is a very user-friendly software program. After registration is complete, your appointment is booked, and payment is made; you will receive an email that will provide guidance to establish your patient-portal into Trinergy’s EHR. You will need to create a user name and password to access your patient portal.

COMPLETE TRINERGY’S POLICY FORMS

Once you establish your username & password, please log into the EHR and access your patient portal. On the home page, you will see a bunch of icons (much like the apps on your smart phone). Click on the Questionnaires icon and complete the forms online. Please do not print them. As soon as you complete the forms online with your signature, Dr. Tummala is able to review them from her end of the EHR. Trinergy Health is committed to an environment, eco- and earth friendly practice and would like to be near 100% paperless.

A Few Things to Remember about Filling Out the Forms:

  1. Please note that this complex EHR system will not work properly on a smart device (your phone, tablet, ipad, etc). So, complete the forms only on a desktop or laptop.
  2. Use only google chrome as your web browser. If you are still having technical difficulties, please call CharmPHR’s customer service at 855-571-5557. You can also email the support team at support@charmphr.com.
  3. Most of the forms are the clinic’s policy forms. Please read them through and sign at the bottom of the page. To sign electronically, hover the cursor in the relevant sign box and use your mouse or ‘finger on the key pad’ to sign (scribble) your signature.
  4. Three (3) forms require you to type your information:
    1. First form is the 3 day food diary designed by IFM (Institute for functional medicine) – this gives Dr. Tummala, a snap shot of your dietary pattern. Any 3 days in a row will suffice. Please do not change your dietary pattern for the sake of this diary.
    2. Second form is the MSQ (Medical Symptom Questionnaire) designed by IFM to ‘scan’ your body from head to toe, looking for signs and symptoms of imbalance. Follow the instructions of this form and complete it, including the total score at the bottom of the page. This is a very useful form that provides Dr Tummala an idea about the various systems of the body (not just the brain) that are bearing imbalance (or disease).
    3. Third form is the New Patient Intake form. Designed by Dr. Tummala, the goal of this form is to collect information about your past and current medical/psychiatric history; along with pertinent events in your life. Please take some ‘mindful’ time to fill this form as it will help you to collect your thoughts and be prepared for your initial interview.
  5. Overall, patients take about 20-30 min to fill all the forms. Once you complete them, our doctors can access the forms from Trinergy’s end of the EHR. Our doctors start your appointment by first reviewing the information filled by you in these forms, so they can hit the ground running for you!
  6. It is very important that you complete all the forms prior to the appointment. On the day of the appointment, both doctors will spend 5 to 10 min of your appointment time reviewing the forms you have completed. This will help us understand and serve you better. In case of any difficulties, please call us ahead and let us know, so we can help you or guide you with the technical difficulties. If the forms are not completed before hand, Dr. Tummala will still see you. But please note that without the completed forms, Dr. Tummala may not be able to offer her treatment to you.

ON THE DAY OF YOUR APPOINTMENT

Please arrive 10 min before your appointment begins. Make sure that you have eaten something (breakfast, lunch or a snack) as discussing emotional problems can be taxing on the mind and body. Dr. Tummala offers organic tea to help you relax and feel comfortable during the interview. Dr Tummala will start the session by first reviewing the forms completed by you. Then, the in-person portion will commence. Overall, please expect to spend 50-60 minutes with Dr Tummala for this initial consultation. She will cover not just your psychiatric history but also your medical history and exam. Many patients find this initial interview to be an eye-opening experience, as she will start you on your journey of self-awareness, and you will begin to understand the biological and psychological underpinnings of your presenting complaint. From connecting the dots in this way, the proposed treatment will also make sense.

The 2nd part of this initial consultation is with Vaidya Sunita Pandey (she is an MD in Ayurvedic medicine and the Sanskrit word – ‘Vaidya’ translates to ‘doctor’). This portion of the initial evaluation may happen before or after the consultation with Dr Tummala. Please expect to spend about 20 min in session with Vaidya Pandey. Vaidya Pandey will provide you with a basic understanding about your ‘Doshas’ and the imbalance in them. She may recommend certain Ayurvedic supplements (most of which are available for purchase at the clinic).

After both portions of this initial evaluation, a comprehensive treatment plan will be recommended and shared with you.

AFTER THE APPOINTMENT IS OVER

Dr. Tummala will complete the appointment notes and billing. She will email you a super bill to submit to your insurance for reimbursement. Within 5 to 7 days of your appointment, you will receive a visit summary in your patient portal, that will contain the treatment recommendations in total – diet/lifestyle recommendations, nutritional and herbal supplements, psychiatric medicine recommendations, etc. Relevant reading material (IFM recipes, meditation guidelines, etc) will also be sent to you. Please go over them and start your journey of healing and recovery.

FIRST FOLLOW-UP

Your first follow-up with Dr. Tummala is scheduled in 2 weeks after your initial appointment for an hour. In this appointment, Dr. Tummala will revisit the recommendations, provide guidance, teach basic meditation techniques that are integral to recovery and adjust treatment as needed.

Patients struggling with more complex medical issues will need to follow up with Vaidya Pandey at least on a monthly basis so she can make adjustments to her recommendations as needed.

SUBSEQUENT FOLLOW-UPS

Follow-up with Dr. Tummala: Patients typically meet with Dr. Tummala on a monthly basis. Some patients who elect to undergo psychotherapy with Dr. Tummala may visit with her more often (eg: every 1-2 weeks). Dr. Tummala ideally recommends family sessions at least once every 4 to 6 months. This is to obtain collateral information from family members while also educating them and engaging them in the patient’s recovery.

Follow up with Vaidya Pandey: In general, patients are recommended to follow up with Vaidya Pandey at least once every 2-3 months. This will allow her to monitor the effects of her Ayurvedic advice and adjust treatment as needed.

Patients struggling with more complex medical issues will need to follow up with Vaidya Pandey at least on a monthly basis so she can make adjustments to her recommendations as needed. Vaidya Pandey’s role at Trinergy is like that of an Internist or primary care physician and she works collaboratively with Dr. Tummala to enhance every patient’s health & wellbeing.

FOLLOW UP APPOINTMENT TO DISCUSS LAB RESULTS:

Based on her education and training in Functional Medicine, Dr Tummala recommends many different lab tests to fully evaluate and understand your health problems. Many of her labs are not recommended by other psychiatrists and sometimes even by our patients’ primary care physicians. However, because of such in-depth evaluations, Dr Tummala routinely uncovers underlying health issues like Hashimoto’s disease, autoimmunity, gut dysbiosis, genetic polymorphisms, etc; which then guides her treatment and contributes to the root cause resolution for our patients.

The lab tests are:

  • Blood Tests: C-Reactive Protein Cardiac (hs CRP); ESR, CBC (includes Differential and Platelets); Comprehensive Metabolic Panel (CMP); Hemoglobin A1c (HgbA1C); Homocysteine; Lipid Panel With Ratios; Lipoprotein (A); T3 Reverse (RT3); T3, Free; T4, Free; Thyroid Peroxidase and Thyroglobulin Antibodies; TSH; TSI (Thyroid Stimulating Immunoglobulin); Vitamin B12 (Cobalamin) and Folate Panel; Serum Vitamin D, 25-Hydroxyvitamin D (D2, D3). For these tests, we have partnered with Ultalab tests. Our microsite is: https://www.ultalabtests.com/trinergyhealth. The tests above are offered at deeply discounted cash price. Please review our blog about lab tests and their pricing.
  • Urine Test and Hair Test: We have partnered with GPL lab tests to evaluate for toxicity, neurotransmitter/microbiome function, mitochondrial function, heavy metals etc. For this, we need to check: Envirotox panel complete ($829.00) and hair heavy metals test ($140). Dr Tummala has the test kits in her office. If recommended for you, please pick it up from the office.
  • Genetic Testing: Dr Tummala recommends Methylation gene analysis to evaluate specifically for methylation gene polymorphisms. As such gene polymorphisms cause a variety of treatable health conditions. If you are comfortable with a commercial entity (like 23 and me or ancestry etc) you can order the test kit (only the ancestry kit will suffice) from their website. 23 and me (and such commercial companies) is known to share your data with pharmacy companies for research purposes. I believe you have a choice to decline consent. But please evaluate this option thoroughly before you decide about it. Once you get the raw data, go to geneticgenie.org and upload your raw data on the methylation analysis and detox analysis pages. You will get a final pdf with the methylation gene analysis. This is what Dr Tummala is looking for. You can upload this pdf here to the charm patient portal to be reviewed by Dr Tummala.

When the results come in, Dr Tummala will meet with you in an appointment to review the results with you and also to discuss their meaning and to formulate recommendations based on the results. Depending on the volume of the tests and results, a 25 min session or a 50 min session may be needed.

Outside medical records and lab results: Sometimes patients come in with medical records and lab tests from outside hospitals or clinics. Please upload these records and lab results as pdf documents into your patient portal. You may bring in the paper copies ahead of time to the clinic, so our clinic staff can scan and upload them into your patient chart. Please note that Dr Tummala will review such paperwork in an appointment with the patient, so she can go over her interpretation of the records and make recommendations as needed.

Medication refills: When psychiatric medications are indicated for a patient, Dr Tummala will prescribe them for as long as is needed. She uses an electronic prescription system that is integrated with Charm EHR. Please note that medication needs, including refills, have to be addressed during the appointment time. Due to her busy schedule, Dr Tummala has very limited time to address refill needs outside of appointments. No refill requests will be entertained during weekends or holidays when the office is closed. In case of repeated refill requests outside of appointments, Dr Tummala will address the need in the interest of medication continuation but patient will be charged $50 for every such refill request.

REFUND FOR APPOINTMENTS

Appointments cancelled in line with our cancellation policy are eligible for refund minus a 6% CC processing fee. We understand that schedule changes sometimes are needed and so we encourage our clients to consider re-scheduling rather than canceling their appointments.

View Refund Policy

ADDITIONAL RESOURCES AVAILABLE AT TRINERGY

We, at Trinergy, have the mission of providing complete mind-body wellness to our clients. With this goal in mind, we would like to become a one-stop shop for all things health and wellness. We want to become one convenient location and resource for our clients so they can find all that they need to become healthy and vital again. To this end, we are proud to offer these additional resources:

Health/Wellness Coaching Sessions

Contrary to mainstream medicine’s approach of trying to create health by suppressing symptoms with harmful pharmaceuticals, real health and wellbeing can only be created by enhancing our mind-body-spirit system’s functioning. As long as we are bio-spiritual beings (and not cyborgs ?), our bio-spiritual systems thrive on clean food/air/water, movement, love, meaning and purpose in life; to function optimally.

As a species we have lost this wisdom at many levels. Hence the internal psychic pollution and external environmental pollution. The way back to “you” is by systematically changing your lifestyle – choosing what enhances you and detoxifying what hinders you. This change can seem like an overwhelming task. However, at Trinergy, this is our main work. We are well versed in helping people take charge of their wellbeing.

To this end, we offer the services of our Health/Wellness coach, Helena Johnson, who is also trained as Functional Medicine coach. She is here to offer workshops in the clinic (or at your office), monthly group coaching classes in the clinic (or at your office or even at a grocery store) and also individual sessions in the clinic or in your kitchen. After all, food isn’t like medicine….food IS medicine!

Supportive Medical Devices

In support of our patients’ goals, we offer treatments with various medical devices that have been vetted through peer reviewed scientific studies. These devices are: Alpha Stim for anxiety, depression, insomnia and chronic pain; PEMF mat (we use BEMER mat) for energy balancing and detoxification; and HBOT – hyperbaric oxygen therapy for detoxification, stem cell regeneration, mitochondrial rejuvenation and a host of other benefits. Let is know if you need more information regarding these devices. When clinically indicated, our doctors will recommend these devices for you.

Additional Services

A fantastic complement to our functional medicine approach is our authentic Ayurveda spa. Here patients can receive Ayurvedic massages – well known for their calming, relaxation effect, and also an enjoyable way to bring balance to your Doshas and to detoxify physical/emotional toxins. We also offer therapeutic Ayurvedic services for various illnesses of the mind and body – Shirodhara, Nasya, Panchakarma, just to name a few.

Nutritional Supplements

 
High grade, therapeutic quality nutritional supplements are now available at Trinergy for your benefit. Dr. Tummala has personally scoured the market to bring you the best supplement that is available now. these supplements have been vetted for their potency, purity, grade, cost and therapeutic efficacy. Dr. Tummala has spent hours speaking to various manufacturers and based on her research, she has now chosen to sell Ortho-molecular and Protocol Life Balance products.

Granted there are many other supplement brands available that are equally good. But Dr. Tummala may not be able to provide her 2 cents about them as she has not fully evaluated them.

Ayurvedic Herbal Supplements

Once again, Dr. Tummala has spent countless hours researching the manufacturer practices, their authenticity, etc to bring the best available products for her clients’ benefit. Hence, Trinergy only sells Ayurvedic formulations from the following 3 companies:

  • Kottakal Ayurveda
  • Banyan Botanicals
  • VPK by Maharishi Ayurveda

These companies follow traditional, authentic Ayurvedic formulations and practices; including paying attention to farming practices for the herbs. Banyan and VPK are organic certified.

Kottakal is not but this is a 110 year old company in India that has followed organic practices even before the term organic became what it is today. Dr Tummala has visited this company’s herb farms, herb collection agency – where local tribals living in the tropical forests of Kerala (a southern state in India) collect the herbs from the forests and bring them to this agency (does not get more organic than this!), and their manufacturing unit in Kerala. The authenticity of this company is why Kottakal is still the leader of Ayurveda in India – with not only it’s manufacturing unit, but also an Ayurvedic teaching institute, inpatient Ayurvedic hospital – where the wait list is at least 3 months long and visitors from all over the world go here for curing their chronic illnesses.

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