A focused intake, a written clinical summary, and a follow-up visit. Designed for patients who need a clear, documented diagnosis and roadmap — not necessarily a specialist who prescribes every medication that follows from it.
Request a Consultation →Most Long COVID patients have extensive records and no unified account of what those records mean. This consultation changes that.
A comprehensive intake covering your full symptom history, prior diagnoses, test results, medication trials, and functional limitations. The goal is not to repeat what you've already told a dozen other providers — it's to read those accounts together and identify what has and hasn't been adequately explained. You'll be asked to send records in advance.
A written report documenting the diagnostic framework — which sub-syndromes are present, which have the strongest evidence base for your specific presentation, what treatment sequence is recommended, and which specialists or interventions should be pursued in what order. Written for you, but structured so your PCP can use it directly.
A review of the written summary with you — to answer questions, clarify recommendations, and help you understand how to present the framework to your existing care team. If adjustments to the summary are warranted based on your feedback or questions, they're made here.
If you're uncertain, contact us before scheduling — we'd rather help you find the right fit than have you spend resources on the wrong service.
The written summary is the core output. It exists for two audiences simultaneously.
The quality of the written summary depends on the quality of the records reviewed. The more organized and complete the records you send in advance, the more precise the output.
If you live in a state where Dr. Claunch is not licensed to practice medicine, a standard clinical consultation — including ordering tests, prescribing medications, or actively directing treatment — is not possible. Licensure exists for good reasons, and those constraints are not circumvented here.
What is available is a health education consultation: a review of your history, an explanation of the sub-syndrome model as it applies to your presentation, and a written summary framed around Long COVID as a condition — its known mechanisms, its commonly identified sub-syndromes, and the evidence base for each — that your existing providers can read and act on. The distinction matters: Dr. Claunch can explain what the literature supports and what patterns your history suggests, but will not name a specific diagnosis for you or direct specific medication choices. Your licensed providers retain that responsibility.
For many patients in unlicensed states, this is still meaningful — particularly those whose current providers are unfamiliar with the sub-syndrome model and would benefit from a clearly written educational framework. If you're uncertain whether this applies to you or whether a health education consultation would be useful, contact us before scheduling.
Many patients arrive having researched investigational treatments — low-dose naltrexone, plasmapheresis, anticoagulation protocols, IVIG, stellate ganglion block, and others that have appeared in the Long COVID community and press. These are worth discussing, and where data exist, they can be reviewed honestly.
This practice, however, focuses primarily on treatments with an established evidence base — drawn from ME/CFS, dysautonomia, migraine, chronic pain, and sleep medicine literature — because that list is long enough to occupy most patients meaningfully before experimental options become the most reasonable next step. Pursuing experimental treatments while foundational interventions remain unaddressed is rarely efficient, and often confounds the clinical picture further.
When investigational approaches are genuinely supported by emerging data and appropriate to a patient's specific presentation, they are discussed and appropriate referrals made. Patients interested in the current research landscape — including active clinical trials — will find a curated overview on the resources page (coming soon).
Independent specialty practices face real structural constraints when working with large insurers. Prior authorization requirements, reimbursement rates that don't reflect the time required for complex cases, and administrative overhead that falls disproportionately on small practices without dedicated billing departments — these are the actual barriers, not indifference to patients who need coverage.
This consultation is not designed to exclude patients without resources. It is designed to create a service that can be delivered at a level of thoroughness the standard insurance encounter does not support. A 15-minute follow-up cannot produce a multi-page clinical summary. The Diagnostic Framework Consultation is structured around what a complex Long COVID presentation actually requires — and priced to reflect that honestly, with a superbill provided for out-of-network reimbursement requests.
If cost is a barrier and you have Aetna, Blue Cross Blue Shield, or Harvard Pilgrim — insurers that are common across New England and cover many patients in Massachusetts and neighboring states — standard insurance-based care may be more appropriate. See insurance options →
If you choose to continue as an ongoing patient after the initial consultation, visits revert to $250 / 30 min. A superbill can be provided for out-of-network reimbursement requests.
*ME licensing pending. You will be informed before scheduling.
Request a Consultation →We'll confirm fit before scheduling. Response within 2 business days.