
Primary care with enough time in the room to look at the whole picture.
Most primary care visits are long enough to deal with today, and too short to plan for the next twenty years.
Most primary care appointments run seven to fifteen minutes. Enough for whatever brought you in today. Not enough to review your labs, cover what you are overdue for, and build a plan. That is not any one doctor's fault. It is what the system pays for. So we built this practice in Arlington with the time in it.
What is REAL Primary Care?
REAL Primary Care is a membership practice. Instead of billing insurance, you pay us directly through a flat monthly fee. That one change is what buys the time back. It pays for longer appointments, a panel small enough that your provider knows you, and a visit spent on the whole picture instead of the one complaint that fit the slot.
Who This Is Built For
REAL Primary Care is an adult practice, built for people who would rather get ahead of things than react to them. We do not provide pediatric care, and if you are managing something complex that needs specialist oversight, we will say so at the start rather than serve you badly.
Adults who do not have a primary care provider, or have one they rarely see and barely know.
Anyone who wants a longer appointment, a provider who knows their history, and a real plan instead of a refill.
People managing something like blood pressure, thyroid or weight who would rather find things early than late.

How REAL's Membership Works
Membership works the same way every month. You pay a flat fee directly to the practice, which takes away the billing pressure that makes visits short. In return you get scheduled comprehensive care, sick visits when you need them, and a direct line to your provider in between.
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We Keep It Optimized
Labs and a full reassessment at six months, three sick visits through the year, and direct messaging whenever something comes up.
The REAL Difference
Your first year as a member runs on a set schedule, so nothing depends on you remembering to call and book it. Each step has a purpose and a place on the calendar, and our team handles the reminders.
REAL Relationship
A short conversation about how membership works and whether it is a fit for you
Your Initial Visit
60 to 90 minutes for your full history, a complete exam, and your first labs
Lab Review and Plan
We go through your results together and build your written plan for the year
Six Month Reassessment
Labs again at month six, then a full in-person visit to see what actually moved
Three Sick Visits
Three visits included across the year, with the provider who already knows you
Direct Messaging
Message your provider directly, seven days a week, with a reply within 24 hours
Your First Year, Step by Step
Your first year as a member runs on a set schedule, so nothing depends on you remembering to call and book it. Each step has a purpose and a place on the calendar, and our team handles the reminders.
Initial Visit
Your full history, an exam, and where you want to be in one, five and ten years. Your lab panel is drawn at that visit.
Duration: 60 to 90 minutes
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Lab Review and Plan
We go through your results together and build your written plan covering screenings, nutrition, movement, sleep and stress.
Duration: 30 minutes
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Six Month Labs and Checkup
Labs again, then a full reassessment in person, so you can see what actually moved instead of guessing.
At month six
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Everything In Between
Three sick visits to use across the year, plus direct messaging with your provider seven days a week.
Duration: Ongoing, reply within 24 hours
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How This Works With Your Insurance
REAL Primary Care is not insurance, and it is not a replacement for it. The two are built to work together. This is the question almost everyone asks first, so here is the plain answer.
Good to Know
Membership does not replace your health insurance
We do not bill insurance for membership care
No copays for the care your membership covers
Ask your HSA or FSA administrator about eligibility
What Actually Changes
We will not promise you an outcome. What we can tell you is what changes about the way your care runs: how long your visits are, how quickly you can reach someone, and who is keeping track of what you are due for.

