GynJess offers care two ways: in person at our clinic in Corvallis and by telehealth anywhere in Oregon. Some policies below apply to one or the other; where that is the case, it is stated.

Cash-pay practice. GynJess does not bill insurance. A valid credit card is required to hold your booking, and payment is processed at the conclusion of your appointment.

Current fees. Extended visits (50 minutes) are $275. Focused visits (25 minutes) are $175. Pessary checks are $50–$70 on a sliding scale. IUD placement is $275 and IUD removal is $175, each plus the cost of the device. An asynchronous message visit is $50 per issue. Current pricing for every visit type is published on gynjess.com.

Credit card authorization. By signing this form you authorize GynJess to charge the card on file, through Stripe via SimplePractice, for services rendered and for any late-cancellation or no-show fee. This authorization remains in effect until canceled in writing.

Statement descriptor. Charges appear on your statement as “GYNJESS.”

Authorized user and disputes. I certify that I am an authorized user of the card on file and will not dispute transactions that correspond to the terms of this agreement.

Privacy notice. I acknowledge that credit card transactions could potentially be linked to Protected Health Information (PHI).

FSA and HSA. Your visit is an eligible medical expense. You may pay with an FSA or HSA card directly, or pay another way and submit your receipt or superbill for reimbursement.

Superbills. A superbill is available on request for you to submit to your insurer for possible out-of-network reimbursement. Reimbursement depends entirely on your individual plan and is not guaranteed. See Section VI for the Medicare exception.

External fees. The visit fee covers the professional consultation only. It does not include laboratory work, imaging, prescriptions, or devices such as a pessary or IUD. You are responsible for paying those directly to the lab, pharmacy, or supplier.

Right to a Good Faith Estimate. Health care providers must give patients who are not using insurance an estimate of the expected cost of non-emergency items and services. You have the right to receive a Good Faith Estimate before your visit.

Booking. Appointments are booked through the SimplePractice patient portal. The calendar opens three months in advance and appointments require at least 24 hours’ notice to book.

Office hours. Visits are generally scheduled between 11am and 5pm, though the days worked vary week to week. The booking calendar is the authoritative source for current availability.

24-hour notice. We require at least 24 hours’ notice to cancel or reschedule any appointment.

How to cancel. Use the “Cancel Appointment” button in the SimplePractice portal up to 24 hours before your visit. Inside the 24-hour window the portal will prompt you to call; send a secure portal message instead, or telephone (541) 250-0109.

Fees. Appointments canceled with less than 24 hours’ notice, and missed appointments, are charged a $50 fee to the card on file.

Definition of a no-show. Missing your appointment entirely, or — for telehealth — failing to join the video call within 10 minutes of the scheduled start time.

Late arrival. Arriving late, or technical difficulties on your end that significantly delay a video visit, may require rescheduling and may incur the cancellation fee.

In-person visits. Held at 2358 NW Kings Blvd #202, Corvallis, OR 97330. Free parking is available on site and the entrance is wheelchair accessible.

Telehealth visits (the Oregon rule). As agreed in your Telehealth Consent, you must be physically located in the state of Oregon during the video call. This is a licensing requirement, not a preference.

If you are outside Oregon. If you join a telehealth visit from outside Oregon, Jessica legally cannot proceed. The appointment will be treated as a late cancellation and the $50 fee will apply. Please plan travel accordingly.

What we do. GynJess specializes in perimenopause and menopause, hormone therapy, sexual medicine, urogynecology and pessary care, vulvar conditions, cancer survivorship, contraception, and well-woman gynecologic care.

In-person and telehealth. Physical examinations, Pap smears, pessary fittings, IUD procedures, and other hands-on care are provided at our clinic in Corvallis. Consultations, hormone management, and follow-up may be conducted by telehealth.

Care coordination. If you see Jessica by telehealth only, you agree to maintain a relationship with a local provider for physical examinations and general preventive care. Jessica will coordinate with that provider and with your oncology or specialty team as needed.

New patient status. If Jessica has seen you in any capacity within the last three years, you are an established patient. If she has never seen you, or it has been more than three years, you are a new patient. New patients are welcome to book any visit type — nothing on the schedule is reserved for established patients only.

Prescribing. GynJess complies with all state and federal law regarding prescribing, including by telemedicine. Controlled substances such as testosterone may be prescribed when clinically indicated and permitted by current regulation.

Test results. If diagnostic testing is ordered, it is your responsibility to schedule a follow-up appointment or portal check-in to review the results. GynJess cannot act on results that have not been reviewed with you.

The patient portal comes first. All clinical communication — symptoms, results, prescriptions, records — must go through the secure SimplePractice portal, which is the only channel covered for Protected Health Information.

Telephone, fax, and email. You may reach the practice at (541) 250-0109, by fax at (877) 644-4599, or by email at frontdesk@gynjess.com for scheduling and general questions. Please keep detailed health information out of email and voicemail; email is not a secure channel.

Portal messaging after a visit. You are welcome to use portal messaging after your visit for follow-up questions and minor adjustments to the plan we made together.

Asynchronous message visits. A new concern that requires evaluation or a new prescription — rather than a follow-up on an existing plan — is billed as an asynchronous message visit at $50 per issue. Anything beyond 30 days, or beyond the scope of a message, requires an appointment.

Response times. Portal messages are answered on working days. GynJess does not provide urgent or emergency care. For an emergency, call 911 or go to the nearest emergency department.

Social media. Our social accounts are for education and practice news only. To protect your privacy, direct messages or comments about medical advice, symptoms, or scheduling will not be answered. Please use the patient portal.

Jessica has formally opted out of Medicare. Medicare will not pay for her services, and neither you nor GynJess may submit a claim for them. If you have Medicare or a Medicare Advantage plan, you will sign a short private contract before your first visit acknowledging that you are choosing to receive care privately and to pay out of pocket. That contract is never signed while you require emergency or urgent care.

Because no claim is filed, no superbill is issued for these visits, and a Medigap or supplemental policy will generally not reimburse either. Labs, imaging, and prescriptions Jessica orders are usually still processed under your Medicare coverage in the ordinary way.