Recognized by
sita lauren

Conditions We Treat and Support in our Intensive Membership

  • Cancer Treatment Support
  • Neurodegenerative and Neurological Disease
  • Autoimmune Conditions
  • Long COVID
  • Organ Failure
  • Acute Cardiovascular Conditions
  • Other Crisis Illnesses

What’s Included in Your Intensive Membership

  • All Primary Care and Functional Medicine visits (in-person, telehealth, or phone call)
  • Comprehensive Annual Preventive Visit
  • Neurology visits, if needed
  • Same- or next-day visits for urgent issues with a PALM Nurse Practitioner
  • 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
  • Phone calls with your medical provider to discuss labs and medical plan
  • 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)
  • Unlimited Vitality Sessions (cryotherapy, salt room, infrared sauna and steam room, BioMat, PEMF mat, Sound Focus, fitness 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
  • Mental Health and Preventive Cardiology visits, if needed
  • Specialty Labs and advanced testing, as recommended
  • Additional Wellness Services (i.e. acupuncture, chiropractic care, nutrition counseling, massages, facials, etc.)
  • Prescriptive Wellness Programs (i.e. Precision Nutrition, Sports Performance)
  • Choice Packs and Day Spa Packages
  • Café access for nutritious meals, snacks, and beverages
sita tracy medical
Balanced Living Program

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


“I completely trust my doctor’s knowledge and advice.”

“I feel safe and secure that she knows what she is doing and that she has my best interests in mind: something that everyone hopes for in a physician but rarely gets.”

– Pam K. · Intensive 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.

Sarah Bird

Dr. Sita Kedia, MD, MPH, FAHS

Chief Medical Officer and Neurologist

Sita earned her medical degree from University of Colorado School of Medicine. She is triple board certified in Pediatrics, Adult/Pediatric Neurology, and Headache Medicine, and also received her Master’s of Public Health from the University of Colorado School of Public Health. Sita was recently the Director of the Headache Program at Children’s Hospital in Colorado and is a co-founder and Vice-President of the Anthropedia Foundation. Her extensive knowledge of traditional and complementary techniques, combined with devotion to each patient as an individual, helps her achieve the best possible outcomes.

“Dr. Sita Kedia was so nice during our visit and my mom loves her! Everyone we spoke to at PALM and interacted with was extremely kind and caring. We all think that PALM is the best choice for my mom. I can’t say thank you enough for your help and kindness. My mom has hope now, which she hasn’t had for quite some time.”  – Shauna G.

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 ongoing support for serious diagnoses such as cancer, neurodegenerative disease, long COVID, autoimmune conditions, and crisis illnesses.


Medical Membership

Medical Membership

Take a whole-person, integrative approach to your primary healthcare with one of our functional medicine providers.


Total Membership

Total Membership

Develop a healthier lifestyle, get preventive care, and take a functional medicine approach to any health concerns.


Executive Membership

Executive Membership

From preventive medicine to stress management to concierge care, premium personalized healthcare for executives starts here.


Get a complete breakdown of each of our membership plans.

personalized medicine + wellness