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Best for those looking for an immersive, “total” experience with functional and preventive healthcare, concierge primary care, and healthy lifestyle support, the Total Membership offers personalized medical care, mind-body recovery services, and more resources to help you reach and maintain well-being.

The Total Membership might be a good fit if you…

  • Are generally well and looking to optimize your health
  • Experience mild symptoms or conditions like fatigue, anxiety, or gut issues
  • Want a more functional approach to your primary care
  • Are looking to create a lifestyle more centered around your health and well-being

What’s Included in Your Total 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
  • Messaging with your medical provider through the PALM Health Portal
  • Direct phone access to the on-call medical provider on nights, weekends, and holidays
  • On-site lab draws in St. Louis, Missouri
  • 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 6 wellness services from our Choice Pack options:
    • Acupuncture, chiropractic care, nutrition counseling, 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 and webinars 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 and one-minute wellness tips videos
  • Neurology visits, as recommended
  • 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
total membership amanda lober
Balanced Living Program

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


“The best value I could have imagined.”

“The Total Membership at PALM has been the best value I could have imagined for all my health needs. I take advantage of all the services, amenities, and classes offered, and the best part is my physician is there too!”

– Karen Hempstead · Total Member · St. Louis, Missouri

Meet Our Total Membership Providers

Jane Gelfand

Jane Gelfand, DO

Concierge Primary Care Physician and Functional Medicine Specialist

Dr. Gelfand is well-practiced in approaching her patients with whole-person and preventive care in order to help them reach optimal health and well-being. She strives to look beyond symptoms, connect the dots between them, and ultimately find the root cause. She brings all of the elements of wellness into her treatment plans, working with patients to strengthen their nutrition, stress management, movement, and more.

Henri Roca

Henri Roca, MD, IFMCP

Concierge Primary Care Physician and Functional Medicine Specialist

Dr. Roca is a board-certified Family Medicine Physician and Functional Medicine Specialist dedicated to the principles of whole-person health and integrative medicine. Dr. Roca believes understanding and resolving the root causes of illness can help bring the mind, body, and spirit toward optimal functioning. Dr. Roca 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, inflammatory and autoimmune challenges, and underlying cardiometabolic diseases. Dr. Roca received his undergraduate degrees from Washington University and his medical degree from Louisiana State University, followed by a residency and internship at Marshall University.

jeff kreher

Jeff Kreher, MD, IFMCP

Concierge Primary Care Physician and Functional Medicine Specialist

Dr. Jeff Kreher is a board-certified internist, sports medicine specialist, pediatrician, and functional medicine provider who supports patients in optimizing their health and longevity. Through his extensive experience at Massachusetts General Hospital, Dr. Kreher has become a leading voice in functional and integrative medicine. He has taught students and providers of all levels at both Mass General and Harvard University.

Amanda Lober peregrin

Amanda Lober, NP-C, IFMCP

Family Nurse Practitioner

Amanda received her Bachelor’s of Science in Nursing from St. John’s College in Springfield, Illinois and later went on to obtain her Master’s of Science in Nursing from Southern Illinois University Edwardsville. During her 13 years working in Emergency Departments, she became skilled in a wide variety of simple and complex ailments, treatments, and procedures. With an approach focused on patient education and collaboration, Amanda is passionate about developing and fostering a trusting relationship between patient and provider. She uses her expertise to aid members in reaching their goals, avoiding preventable illness, and achieving well-being.

“The relationship we have with Amanda is a big reason why we continue to renew our membership. Amanda is very knowledgeable and thorough, and she serves us in the best way possible. I appreciate Amanda and her collaboration more than anything else!” – Melissa L.

Sarah Bird

Sarah Bird, DNP, IFMCP

Functional Medicine Nurse Practitioner

With a strong foundation in integrative person-centered care, Sarah works to support her patients’ innate capacity for healing. She enjoys using a variety of tools including functional medicine, mind-body practices, coaching, and integrative therapies to empower patients. Sarah earned her doctorate in Integrative Health and Healing at the University of Minnesota’s Center for Spirituality for Healing, where her doctoral project entailed building programs to help patients build resilience and well-being. Sarah is certified in functional medicine  through the Institute of Functional Medicine and is trained as a Well-Being Coach through the Anthropedia Foundation.

“I always feel listened to and nothing I say is ever dismissed — Sarah goes further to understand and find a solution. She is empathetic and extremely smart. I trust her completely and know that I am in excellent hands with Sarah.”  – Matt R.

Not sure if the Total Membership is right for you?

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

Total Membership

Total Membership
(you are here)

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


Optima Membership

Optima Membership

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


Restore Membership

Restore Membership

Support chronic illness healing and restore your health with this year-long intensive and multidisciplinary healing plan.


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