Recognized by
henri roca

Best suited for those managing a moderate to severe chronic illness or undiagnosed chronic symptoms, this membership offers more advanced support from our physicians, including higher-level access to support your healing goals and health needs: more frequent visits; a functional, root-cause approach to your symptoms; and comprehensive care plans with lifestyle support.

The Intensive Membership might be a good fit if you…

  • Want a higher level of support from your doctor
  • Have an area of your health you’d like to work on intensively
  • Need support for your health during cancer treatment
  • Experience chronic, undiagnosed symptoms
  • Struggle with conditions like:
    • Mold toxicity
    • Lyme Disease
    • MCAS
    • Autoimmune conditions
    • Long COVID
    • Cardiovascular conditions
    • Neurological conditions
    • Other multi-system illness

What’s Included in Your Intensive Membership

  • All Concierge Primary Care and Functional Medicine visits (in-person, telehealth, or phone call)
  • Comprehensive Annual Preventive Visit
  • Same- or next-day visits for urgent issues with a nurse practitioner or physician’s assistant
  • Direct phone access to the on-call medical provider on nights, weekends, and holidays
  • On-site lab draws in St. Louis, Missouri
  • Primary care doctor cell phone access
  • Messaging with your medical provider through the PALM Health Portal
  • Dedicated care coordinator to help you follow up with recommendations and arrange for timely appointments
  • Coordination of care with your medical providers outside of PALM
  • Ongoing support from our team of advisers (Navigators) to guide you through our selection of services and providers
  • A choice of 8 wellness services from our Choice Pack options:
    • Acupuncture, chiropractic care, nutrition, massages, facials, personal training, and more
  • Unlimited Vitality Sessions:
    • Cryotherapy, salt room, infrared sauna and steam room, BioMat, PEMF mat, Sound Focus, fitness and meditation classes
  • Boutique fitness center access for your workouts
  • Educational seminars, webinars, and events addressing the latest topics in health and wellness
  • Wellness Rewards and Loyalty Program so you can earn points to put towards your product and service purchases
  • Our library of webinars, virtual classes, and one-minute wellness tips videos
  • Neurology and Preventive Cardiology visits, as recommended
  • Mental health consults, as recommended and as available
  • Specialty labs and advanced testing, as recommended
  • Additional wellness services
  • Prescriptive wellness programs (i.e. Medical Weight Loss Program, Bredesen Program)
  • Choice Packs and Day Spa Packages
  • Café access for nutritious meals, snacks, and beverages
  • Online store for purchasing supplements and retail products
sita tracy medical
Balanced Living Program

Schedule an introductory call with one of our wellness-trained advisers to learn more about the Intensive Membership.


“Because of PALM, I’m on the path to getting my life back.”

“I’m still in the early stages of my treatment plan and have a ways to go. However, my doctor has done more for me in a few months than six conventional doctors have done in a few years. It’s mind boggling how he immediately had an idea of what he thought was going on after my second appointment. I was to the point where I thought my symptoms were permanent and was in an extremely bad place. I almost had to go on disability at work; I was an absolute mess. My doctor not only gave me hope but is also treating the cause of my issues. I felt better within a few weeks of working with him.”

– Dominick T. · Member · St. Louis, Missouri

Meet Our Intensive Membership Providers

Amanda Lober

Karrie Hohn, MD, IFMCP

Concierge Primary Care Physician and Functional Medicine Specialist 

Dr. Catherine (Karrie) Hohn graduated from the University of Missouri-Columbia Medical School and completed residency in Family Medicine at Mercy Hospital Saint Louis. After practicing community Family Medicine for 18 years, Dr. Hohn shifted the focus of her practice toward functional medicine. Dr. Hohn partners with patients to treat the underlying causes of disease and promotes wellness by addressing each individual patient’s biology, genetics, and lifestyle factors that influence health and wellness. Dr. Hohn practices proactive, predictive, personalized medicine and encourages patients to take an active role in their own healthcare.

“I have so much respect for Dr. Karrie Hohn and complete faith in her medical expertise. She pays attention to what I am saying and provides suggestions as to what is best for me. She bases her recommendations on what is best for me personally as an individual. She has an extremely kind and caring manner about her that comes across every time I see her.” – Lydia R.

Jane Gelfand

Jane Gelfand, DO

Concierge Primary Care Physician and Functional Medicine Specialist 

A board-certified Family Medicine Physician, Dr. Jane Gelfand earned her medical degree from Midwestern University – Chicago College of Osteopathic Medicine. She then went on to complete her residency at MacNeal Hospital in Chicago and has been practicing at BJC/Washington University. Dr. Gelfand has extensive training in osteopathic medicine and nutrition, and has spent time working in family medicine in both private practice and hospital settings. Through her experience, she has developed her interest in patient advocacy and education. She aims to help guide her patients to understand not only their own health but also the healthcare system and how to navigate their experience in it.

“I have been referring patients to Jane Clara Gelfand for the past few years. We share quite a few patients. Her patients love that she takes time with them and is very thorough. She has a keen interest in providing holistic care to all of her patients.” – Dr. Varsha Rathod

Henri Roca

Henri Roca, MD

Concierge Primary Care Physician and Functional Medicine Specialist 

Dr. Roca earned his medical degree from Louisiana State University, followed by a residency and internship at Marshall University, and has created several Integrative Medicine programs across the nation. Because diseases are rarely singular and each dysfunction tends to drive other dysfunctions, Dr. Roca believes understanding and resolving the root causes of illness can help bring the mind, body, and spirit toward optimal functioning. He emphasizes the importance of predicting and preventing genetic or familial diseases, and he has a particular interest in working with patients who experience chronic multi-symptom illnesses such as chronic fatigue, fibromyalgia, autoimmune challenges, and underlying cardiometabolic diseases.

Not sure if the Intensive Membership is right for you?

Compare our functional medicine-based membership plans to find the right fit.

Intensive Membership

Intensive Membership
(you are here)

Get treatment and support for serious diagnoses such as autoimmune conditions, multi-system complex illnesses, mold and environmental toxicity, tick-borne diseases, and more.


Optima Membership

Optima Membership

Work on generalized symptoms and health optimization with virtual or in-person primary care from a functional medicine-certified provider.


Total Membership

Total Membership

Take a whole-person approach with functional medicine and primary care plus healthy lifestyle support.


Executive Membership

Executive Membership

From preventive medicine to stress management to concierge care, high-level executive health starts here.


Get a complete breakdown of each of our membership plans.

personalized medicine + wellness