Frequently Asked Questions

1. Tell me more about Dr. O'Hara

2. Tell me more about Dr. Szakacs

3. Are there other practitioners that you work with?

4. Can you give me some specifics on the practice?

5. How do we get started?

6. What happens during an initial visit?
a.    For a child with ASD or complex Neurodevelopmental Disorders?
b.    For a child with PANDAS/PANS?
c.    For a child with other chronic illnesses (including ADHD, Allergies, IBD, etc.)?
d.    For children or adults with Injuries or Inflammation (including Post-Concussive Syndrome)?
e.    For an adult (excluding HBOT patients)?
f.    For a Second Opinion for children or adults?

7. Do you require any additional information other than the questionnaire prior to the initial consultation?

8. What happens after the initial consultation?
a.    For a child with ASD or complex Neurodevelopmental Disorders?
b.    For a child with PANDAS/PANS?
b.    For a child with other chronic illnesses (including ADHD, Allergies, IBD, etc.)?
c.    For children or adults with Injuries or Inflammation (including Post-Concussive Syndrome) *Hyperbaric Oxygen Therapy (HBOT)?
d.    For an adult (excluding HBOT patients)?
e.    For a Second Opinion for children or adults?

9. What is required prior to follow-up appointments?

10. What is Hyperbaric Oxygen Therapy (HBOT)?

11. What is BioSet?

12. What is Homotoxicology?

13. What is Brain Mapping/qEEG?

14. What is Neurofeedback?

15. Will you become my child's pediatrician?

16. If I do not have a peditrician, can you recommend one for my child?

18. Is your practice covered by insurance?

19. What happens if I have to cancel my appointment?

21. How do I arrange an initial appointment?

22. What are your fees?

23. What about email correspondence?

24. I am currently working with a practitioner to treat my child, but I would like a second opinion. Do you give second opinions?

 

Answers to Frequently Asked Questions:

Tell me more about Dr. O’Hara:  

Dr. Nancy O'Hara is a board certified Pediatrician. Until January 2010, she was the Assistant Medical Director for Defeat Autism Now!® Physican Training and the Physican Mentoring Director for Defeat Autism Now!® in Europe. Prior to her medical career, Dr. O'Hara taught children with autism. She graduated with highest honors from Bryn Mawr College and as a member of the Alpha Omega Alpha Honor Society from the University of Pennsylvania School Of Medicine. She earned a Master's degree in Public Health from the University of Pittsburgh. After residency, chief residency and general pediatric fellowship at the University of Pittsburgh, Dr. O' Hara was in private practice for 7 years. Dr. O'Hara has worked with Dr. Sidney Baker and other practitioners in the research and care of children with Autistic Spectrum Disorder for many years. Since 1999 she has dedicated her practice to the integrative and holistic care of children with neurodevelopmental disorders and Autistic Spectrum Disorder.
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Tell me more about Dr. Szakacs:  

Dr. Gail Szakacs is board certified in Internal Medicine.  She graduated from Hamilton College in 1995 with honors.  After three years of working in the healthcare field and doing medical research, she attended St. George's University School of Medicine where she was a member of the Iota Epsilon Alpha International Medical Honor Society.  After completing her Internal Medicine residency at St. Michael's Medical Center (a Seton Hall University program) in Newark, NJ, Dr. Szakacs worked as a Hospitalist in CT before moving to private practice.  Since 2006, she has dedicated her functional medicine practice to the integrative care of children and adults with neurodevelopmental disorders and chronic illness (including ADHD, Autism Spectrum Disorder, Lyme Disease, Allergies, Inflammatory Bowel Disease, OCD, and Autoimmune Disease).

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Are there other practitioners that you work with? Yes, there are other practitioners who work with Dr. O’Hara and Dr. Szakacs to provide a full range of consultative services to our patients.

Ms. Lori Coda, MS, SpEd., is a Neurofeedback Specialist and Behavioral and Educational Consultant.  She has been working with Dr. O'Hara since 2000.  Lori has a B.A. in Psychology and a Masters in Special Education.  In addition, she has post masters' training and certifications in QEEG Brain Mapping, Advanced Neurofeedback, Therapeutic Listening, TEACCH and DTI.  Lori has been working in Special Education since 1986 and has been working with children with Autistic Spectrum Disorder since 1993.  She has been in private practice since 1994, offering social skills training as well we Behavioral and Educational Consultations.  She added Neurofeedback to her practice in 2005 and expanded to offer QEEG Brain Mapping in 2009.  She is well seasoned and has an extremely eclectic and creative style.   She offers a wide range of therapies including, QEEG Brain Mapping, Neurofeedback, Listening Therapy, Behavioral and Educational Consultations and Social Skills /groups.  Lori's office is on the 2nd floor of our building.

Lori's Website: www.loricoda.com

Contact: loricoda@gmail.com or (203) 529-3300

 

Ms. Lauren Lee Stone, PhD, is an advanced BioSet practitioner and Homotoxicologist.  Lauren came to BioSet in the search to heal her own children and chose to make it a career after experiencing its success first hand.  In addition to a BA from Yale University and a Ph.D. from Cornell University, Lauren has a Masters in Human Nutrition from the University of Bridgeport and advanced certification in BioSet.  Lauren's office is just upstairs from ours.

Lauren's Website: www.cornerstoneintegrativecare.com

Contact: lauren@cornerstoneicare.com or patti@cornerstoneicare.com or (203) 794-9700

 

Ms. Vicki Kobliner, MS, R.D., is a Registered Dietitian.  She received a bachelor’s degree from Washington University in St. Louis and a master’s degree in Nutrition from Oregon State University.  After completing her internship at Oregon Health Sciences University/Portland VMAC, Ms. Kobliner returned to Connecticut.  She has been practicing since 1994 and has been working with children in the Autism Spectrum since 2001. Vicki's office is located upstairs from ours.

Vicki's Website: www.holcarenutrition.com

Contact: vicki@holcarenutrition.com or traci@holcarenutrition.com or (203) 834-9949

To order supplements: supplements@holcarenutrition.com

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Can you give me some specifics on the practice? 

Center for Autism and Integrative Health is a consultative practice which integrates the care of children and adults with neurodevelopmental delays, including Autism Spectrum Disorder and other chronic illnesses through a consultative and individual approach. We work with patients to integrate their therapies, medications and other interventions in a thorough and holistic fashion. We examine the biochemical, immunologic, environmental and nutritional aspects of a patient’s health and assimilate all of this information in forming an individual protocol for each patient. We also work with children and adults with injuries and inflammation (including Post-Concussive Syndrome).  For parents planning conception, we can help you make good quality diet, environmental and lifestyle choices for a healthy pregnancy.
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How do we get started?

After reviewing this document, please visit the appropriate page under New Patients and send all requested documents and the non-refundable $150 deposit to our office via mail.  Once the documents and questionnaire are received in our office, we will contact you to schedule your initial consultation. 
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What happens during an initial visit for a child with ASD or complex Neurodevelopmental Disorders?

The initial consultation will last at least 3 hours. We strongly advise that both parents participate in the initial consultation. It is imperative that two adults attend, as well as the child. We also suggest that you bring a snack for your child as the consult will be for at least 3 hours. At the initial consultation, Dr. O’Hara and Dr. Szakacs will review your child’s history, conduct a nutritional physical examination and observe your child’s interactions. Dr. O’Hara and Dr. Szakacs will discuss how they see your child’s history and development as it pertains to a biomedical approach and will present a detailed treatment plan for your child.

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What happens during an initial visit for a child with PANDAS/PANS?

The initial consultation will last at least 1 hour. In addition to the child, it is imperative that at least one parent attend, but we strongly advise that both parents participate in the initial consultation. At the initial consultation, Dr. O’Hara or Dr. Szakacs will review your child’s history, conduct a physical examination and observe your child. Dr. O’Hara or Dr. Szakacs will discuss how they see your child’s history and will present treatment recommendations for your child.

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What happens during an initial visit for a child with other chronic illnesses (including ADHD, Allergies, IBD, etc.)?

The initial consultation will last at least 1 hour. In addition to the child, it is imperative that at least one parent attend, but we strongly advise that both parents participate in the initial consultation. At the initial consultation, Dr. O’Hara or Dr. Szakacs will review your child’s history, conduct a physical examination and observe your child. Dr. O’Hara or Dr. Szakacs will discuss how they see your child’s history and will present treatment recommendations for your child.

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What happens during an initial visit for children or adults with Injuries or Inflammation (including Post-Concussive Syndrome)?

*Hyperbaric Oxygen Evaluation and Therapy (HBOT)

The initial evaluation is a one (1) hour pre-therapy evaluation for the use of HBOT in our office. If the patient is a child, it is imperative that at least one parent be present at the evaluation. If you are cleared for HBOT, you will work with the doctors to set up a schedule of sessions for your treatment.

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What happens during an initial visit for an adult (excluding HBOT patients)?

The initial office consultation will last at least 1-2 hours. Dr. Szakacs will conduct a detailed review of the patient’s history, conduct a physical examination and formulate a comprehensive biomedical treatment plan for the patient. Back to Top

What happens during an initial visit for a Second Opinion for children or adults?

The second opinion consultation will last at least 2 hours. For a child, we require the child be present and strongly advise that both parents participate in the initial consultation. At the initial consultation, Dr. O’Hara or Dr. Szakacs will review your or your child’s history and conduct a physical examination. You will be presented with a detailed list of recommendations to consider for treatment (to be discussed with your primary practitioner). This is a one time consultation and there will be no follow-up consultations by phone, office visit or email. There will be no blood drawn or IV medication administered at the time of the second opinion consultation Back to Top

Do you require any additional information other than the questionnaire prior to the initial consultation?

It is important that you include with your submitted materials all supporting privacy and consent forms, as well as any lab tests, evaluations (medical, psychological or therapeutic) or other previous testing done.
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What happens after the initial consultation for a child with ASD or complex Neurodevelopmental Disorders?

We will provide you with a detailed plan, which may include recommendations for new therapies or changes to existing therapies, blood, urine, stool and/or other testing, the use of supplements and medications and possible dietary changes with supporting menu resources.  The first follow-up consultation (which may be via telephone) will be scheduled for approximately one month after the first visit with either Dr. O'Hara or Dr. Szakacs. This will focus on the results of recommended tests and further treatment/ therapy plans. Future follow-up consultations will occur as frequently as needed, but generally take place every 1 to 3 months.  Although follow-up consults can be done by phone, patients of the practice must be seen in person by one of the physicians in the CT office at least once per year. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance.  You should not submit invoices for email correspondence to your insurance provider.

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What happens after the initial consultation for a child with PANDAS/PANS?

We will provide you with a detailed plan, which may include recommendations for new therapies or changes to existing therapies, blood, urine, stool and/or other testing, the use of supplements and medications and possible dietary changes with supporting menu resources.  The first follow-up consultation (which may be via telephone) will be scheduled with either Dr. O'Hara or Dr. Szakacs. Future follow-up consultations will occur as frequently as needed, but generally take place every 1 to 3 months.  Although follow-up consults can be done by phone, patients of the practice must be seen in person by one of the physicians in the CT office at least once per year. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance.  You should not submit invoices for email correspondence to your insurance provider.

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What happens after the initial consultation for a child with other chronic illnesses (including ADHD, Allergies, IBD, etc.)?

We will provide you with a detailed plan, which may include recommendations for new therapies or changes to existing therapies, blood, urine, stool and/or other testing, the use of supplements and medications and possible dietary changes with supporting menu resources.  The first follow-up consultation (which may be via telephone) will be scheduled with either Dr. O'Hara or Dr. Szakacs. Future follow-up consultations will occur as frequently as needed, but generally take place every 1 to 3 months.  Although follow-up consults can be done by phone, patients of the practice must be seen in person by one of the physicians in the CT office at least once per year. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance.  You should not submit invoices for email correspondence to your insurance provider.

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What happens after the initial consultation for children or adults with Injuries or Inflammation (including Post-Concussive Syndrome)?

*Hyperbaric Oxygen Evaluation and Therapy (HBOT)

The initial evaluation is a one (1) hour pre-therapy evaluation for the use of HBOT in our office. If you or your child are cleared for HBOT, you will work with the doctors to set up a schedule of sessions for your treatment.  There will also be another brief interview and examination at the conclusion of your treatment.

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What happens after the initial consultation for an adult (excluding HBOT patients)?

Dr. Szakacs will provide you with a detailed plan, which may include recommendations for new therapies or changes to existing therapies, blood, urine, stool and/or other testing, the use of supplements and medications and possible dietary changes with supporting menu resources.  The first follow-up consultation (which may be via telephone) will be scheduled with Dr. Szakacs for approximately one month after the first visit.  This will focus on the results of recommended tests and further treatment/therapy plans. Future follow-up consultations will occur as frequently as needed, but generally take place every 1 to 3 months.  Although follow-up consults can be done by phone, patients of the practice must be seen in person by Dr. Szakacs in the CT office at least once per year. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance.  You should not submit invoices for email correspondence to your insurance provider.

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What happens after the initial consultation for a Second Opinion for children or adults?

We will provide you with detailed recommendations to consider with your primary practitioner; however, this is a one time consultation and there will be no follow-up consultations by phone, office visit or email. 

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What is required prior to follow up appointments? 

An email update is required one week prior to ALL consultations. The Existing Patient Update Form can be found here.
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What is Hyperbaric Oxygen Therapy?

Hyperbaric Oxygen Therapy (HBOT) is the medical use of oxygen at a level higher than atmospheric pressure.  It significantly increases the partial pressure of oxygen in the body tissues and promotes increased oxygen transport capacity of the blood.   By increasing the amount of oxygen rich blood, HBOT stimulates healing.  In treating inflammation, oxidative stress and cellular detoxification, HBOT promotes healing in many disorders including, but not limited to: ADD/ADHD, Autism, Autoimmune Diseases, Cerebral Palsy, Chronic Fatigue Syndrome, Chronic Inflammation, IBD, Migraines, Multiple Sclerosis, Post Concussive Injuries, Post Radiation Treatment, Sports Injuries, Stroke and Wounds.

The hard chamber (available at our CT office) uses 100% oxygen and increased pressure according to the physicians treatment plans. The soft chambers (i.e. Mild HBOT or mHBOT) are available for monthly rental.  If you are interested in using Hyperbaric Oxygen Therapy (HBOT) for an illness or injury, Center for Autism and Integrative Health provides a one (1) hour pre-therapy evaluation designed for children and adults.  Please contact the office at 203-834-2813 for more information.

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What is BioSet?

BioSet is a gentle, drug free means of eliminating food intolerances and environmental sensitivities.  BioSet measures the body’s energy flow using either electro-dermal screening techniques or muscle testing.  By introducing the energetic signature of a potentially reactive substance into the body’s energy field, the BioSet practitioner can determine whether or not a person is reactive or “allergic” to the substance in question. If the body is reactive or blocked (weak), a reactivity or sensitivity is present. By activating specific acupressure points along the spine, the BioSet practitioner is able to “clear” the blockage and thereby clear the sensitivity.  Once the blockage is cleared and the energy flow is strong, the physical symptoms associated with the sensitivity will also clear. Please visit www.cornerstoneintegrativecare.com for more information on Bioset.
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What is Homotoxicology?

Please visit www.cornerstoneintegrativecare.com for more information on homotoxicology.
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What is Brain Mapping/qEEG?

Please visit www.loricoda.com for more information on Brain Mapping/ QEEG.
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What is Neurofeedback?

Please visit www.loricoda.com for more information on Neurofeedback.
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Will you become my child’s pediatrician? 

No. You will continue to see your regular pediatrician or primary care physician, as required.
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If I do not have a pediatrician, can you recommend one for my child?  

Depending on where you live, we may be able to give you some suggestions.
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Is your practice covered by insurance?  

Dr. O’Hara and Dr. Szakacs do not accept any insurance and are considered out of network providers. It is your responsibility to contact your insurance company before committing to our program to determine the exact policies of your insurance company. We will, of course, with your permission, provide all of the documentation required by your insurer. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance and email correspondence is not covered by insurance.  You should not submit invoices for email correspondence to your insurance provider.  For further assistance with reimbursement, you can contact MedClaims Liaison.
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What happens if I have to cancel my appointment? 

For the Initial Consultation: Because of the great amount of preparation time required prior to the first meeting or Initial Consultation, we require a minimum of 1 week advanced notice when canceling.  Less than one week notice will incur a cancellation fee of half  of the initial consultation fee.  The only exception would be for an extreme medical emergency. 


For Follow-up Consultations: We require 48 hours notice for follow-up consultations, which includes office visits or telephone consults. You may be charged 50% of the standard fee for any consultation not cancelled within 48 hours of the scheduled appointment.


For Office Procedures and HBOT:

We require 24 hours notice for cancellation of office procedures, including infusions and blood draws.   We reserve the right to charge you 50% of our standard fees for scheduled procedures.

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How do I arrange an initial appointment? 

After reviewing the questions and answers above, please return the requested forms and deposit.  You can download our questionnaire and patient forms from our website (www.ihealthnow.org).  When we receive your completed questionnaire, additional forms and deposit, we will call you to arrange an initial consultation.
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What are your fees?

Fees are based upon the type of service provided.  Payment for all consultations or procedures is due at the time of the visit.  Our current fees are as follows (as of November 1, 2013):


* Consultations may be in person or by telephone with a minimum billing increment of 15 minutes. Please note that if you choose to submit our invoices to your insurance company for reimbursement, telephone consults are not generally covered by insurance.
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What about email correspondence? 

You may find that email is the best way to contact us.  Every few months you will receive an invoice for the doctor’s time spent on email, at the doctor’s discretion.  If these are brief or infrequent emails, there will be no charge.  Email contact with the physicians is a non-covered service under insurance company policy.  These fees will be directly billed to the patient and the fees are recognized by the patient as their responsibility. You should not submit invoices for email correspondence to your insurance provider.

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I/we are currently working with another integrative practitioner for treatment, but I would like a second opinion. Do you give second opinions?

Yes, we do. Please click here for more information.
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