General Questions


Is Dr. Rich a licensed physician? +

Yes. Dr. Rich is a fully licensed physician in the state of California. He completed his medical education (1999) and Emergency Medicine residency (2002) at Drexel University School of Medicine in Philadelphia. He then practiced at various hospitals as an ER doctor before opening Live Fit Medicine in 2008.

Dr. Rich is also an Institute of Functional Medicine Certified Practitioner. This means that he has completed the highest level of education available in Functional Medicine.

Is Dr. Rich a primary care physician? +

No. While Dr. Rich initially trained and practiced as an ER doctor, he does not provide primary or acute care services. He will work with you closely as a health consultant, strategist and coach in preventive, nutritional and Functional Medicine to help you address the root causes of your health problems. He strongly recommends that you have a primary care physician and he will gladly confer with them if necessary.

Does Dr. Rich ever prescribe prescription medications? +

Yes. While he focuses primarily on natural remedies, as a fully licensed physician he can and does prescribe prescription medications when necessary. In addition, he can also help wean patients off prescription medication they are currently taking (if appropriate).

Does Dr. Rich treat children? +

No. Dr. Rich does not treat patients under 18 year old.

Do I have to see Dr. Rich in person for my initial evaluation? What about follow-up appointments? +

Yes. Dr. Rich's California medical license requires that he meet with a patient in person in order to provide an initial medical consultation. In addition, he finds that there is no substitute for that initial doctor-patient connection.

Follow-up consultations can be via phone, video (we use Zoom, a HIPAA Compliant video conference system) or in person.

What conditions does Dr. Rich treat? +

Please see here for more information on conditions treated.

Is Dr. Rich accepting new patients? +

Yes, we are currently accepting new patients.

How long will it take for me to see results? +

While we would love to give you a definitive answer, it really depends on several factors, including the complexity of your condition, how long you have been struggling with it, how much time, energy and attention you’re willing to devote to treatment, and how well you respond to your treatment plan.

In general, treatment programs last between three and six months, but most patients start seeing improvement within the first month. Some patients often elect to continue with a maintenance plan after their initial treatment plan is completed.

How do I become a patient? +

The first step towards becoming a patient is to request a free 15 min phone consultation by filling out our free consultation form located here. Once Dr. Rich has reviewed your form, our practice manager will reach out to you to schedule your free consultation, or to let you know if Dr. Rich does not feel he is a good fit for you given the answers you provided.


Insurance, Fees and Payment Methods


Do you take health insurance? +

No. Live Fit Medicine operates as a self-pay medical practice and we do not accept health insurance, we are not a participating provider with Medicare or Medicaid and we will not file insurance paperwork on your behalf.

We can provide you with a detailed statement (Superbill) that contains diagnosis and procedure codes to assist you with possible insurance reimbursement, however, we cannot assure you that any of Dr. Rich's services will be reimbursed.

If you have questions on your “out-of-network” benefits through your insurance, we suggest you call the member services number on the back of your insurance card and inquire about your plan. You can let them know you are planning an appointment with an out-of-network physician and want to know what percentage of your visit will be eligible for reimbursement. We cannot assist in insurance claim resolution or respond to insurance carrier requests for more information.

This was a difficult decision for Dr. Rich to make, but at this time wellness based preventative care is not adequately supported by health insurance. For more detailed information regarding his financial policy click here.

How much will my treatment cost? +

This depends on several factors, including the complexity of your condition, the extent of lab testing required, the combination of supplements, herbs and other therapies needed during treatment. For more information on our pricing click here.

What is your cancellation/rescheduling policy? +

Our cancellation/rescheduling policy is different for initial evaluations and follow up consultations due to the length of the initial evaluation (2 hours) and preparation involved.

Initial Evaluation: 7 day cancellation and rescheduling policy. Your appointment must be cancelled or rescheduled 7 days prior to your appointment date or you will be charged a fee of $400.

Follow-Up Consultations: 2 business day (48 business hours) cancellation and rescheduling policy. Your appointment must be cancelled or rescheduled at least 2 business days (48 hours) prior to your appointment date or you will be charged a fee of $200.

Please note: Holidays and weekends do not constitute business days. Although you may receive reminder phone calls, emails and texts from our office about appointments, these reminders are a courtesy only. It is your responsibility to remember your appointment date and time.

What payment options do you accept? +

We accept checks and the following credit cards: Visa, MasterCard, Discover and American Express.

When you schedule your initial evaluation we request a credit card on file to hold the appointment for you. However, no charges will be applied prior to your appointment unless you cancel or reschedule your appointment without proper notice. Please make sure to read our cancellation/rescheduling policy above.

It is important to maintain an active credit card on file with our office for billing of follow-up consultations, laboratory testing, and other services. Payment is expected at the time of service.

Can I pay with an HSA (Health Savings Account) or FSA (Flex Spending Account? +

Yes. We accept HSA and FSA cards.


Your First Visit 


Do I need to do anything before coming in for my initial evaluation? +

Yes. Prior to your initial evaluation, you will need to register on our online patient portal, answer our health questionnaires and upload any medical records/ lab results from the past 12 months you would like Dr. Rich to review. We ask that you submit all questionnaires and records at least 5 days before your initial evaluation to give him sufficient time to prepare. Once you schedule your initial evaluation you will receive a Welcome email from our practice that includes our Welcome Packet. This packet is very important as it contains instructions on how to register on the patient portal and fill out the questionnaires.

I didn't receive the Welcome Packet. What should I do? +

The Welcome Packet is included as a link in the confirmation email you received when scheduling your initial evaluation. If you did not receive it, please check your spam folder. If it is not there, please call the office and we will be happy to resend it.

I have lab results and medical records dating back more than 12 months - should I upload those? +

Generally Dr. Rich is most interested in any lab results or medical records you have from the past 12 months. If you have additional records that date back further than 12 months that you think he should see, you are welcome to bring them with you to your intitial evalaution and he will let you know if they are important to upload. You can also send a portal message once you register to ask if you should upload them.