Frequently Asked Questions

Welcome to Peak Performance and Prevention (P3).

We are honored that you have chosen us as a partner on your health journey. At P3, we do medicine differently. Our mission is to empower you to meet your goals with knowledge, diagnostics, medical nutrition, research, and positive reinforcement.

We are dedicated to relentlessly pursuing your health until you have the answers that you deserve to change the trajectory of your health and your life.

This is what medicine should be.

What is included with my Treatment Plan?
  • Three (3) comprehensive visits to include: annual physical exam with a detailed history, a comprehensive lab review, EKG (at initial visit, and as needed), and regular body composition checks with our InBody Scan machines.
  • One (1) additional visit that can be used as either a lab interpretation or as an acute visit, as needed.
  • Three (3) Primary Custom Lab Panels – One for each of the included Lab Review visits
  • Health Coaching
  • Access to our private online supplement dispensary
  • In-office blood draws
  • Referrals to outside specialists or diagnostics
  • Convenient online payment and invoicing
  • Discounted rates and first access for P3 services and procedures
  • Phlebotomy and specimen collection for P3-ordered labs, if available at P3
What is the price of the P3 Treatment Plan?
$3,000 per year, with choice of payment plan:
  1. Monthly payments: $250 via EFT
  2. Annual payments: $2,700 (10% off)
What is NOT included?
  • Healthcare services other than those specified above, whether provided by P3 or others.
  • Services provided other than by P3, such as emergency and specialist care, will be billed to you or your insurance plan by those providers and according to their billing policies.
  • Additional lab testing, if needed. P3 Clinicians may recommend additional specialty testing. While some lab tests may be covered fully or partially by your health insurance, most are cash-pay. The out-of-pocket expense from most labs averages between $0 - $400, depending upon their insurance billing policy and your co-pays or deductibles. We will do our best to advise you about a lab's billing policies prior to completing testing, but the billing policies of outside labs are subject to change without P3 being notified.
  • P3 is not a 24/7 emergency service
  • Outside services, medical or otherwise, recommended by P3
  • Medications, whether prescribed or over-the-counter
  • Supplements
  • Biometric testing devices (i.e. Oura Ring, Garmin, Fitbit, or glucose monitors)
Does P3 offer one-time visits?

Yes, however, a complete Treatment Plan is core to our philosophy. Because our Treatment Plan costs about what one visit does at comparable practices; we strongly encourage continuous care plans. Our mission is to help you see results, but lasting change takes time.

We believe you deserve access to meaningful care and the opportunity to work with our team over time at an affordable price.

P3 does offer a one-time 75-plus minute consultation and evaluation for $1,000.00 (billed in one or two payments). This comprehensive visit will include a detailed history, lab testing, lab review, body composition, EKG, and individualized treatment plan with nutritional recommendations. Because this visit is a one-time consultation, P3 providers will not prescribe medications.

You may schedule a one-time visit and then choose to convert to a Treatment Plan on the day of the appointment. Any previously applied payments will be credited toward the cost of the Treatment Plan.

What additional services are offered at P3?

Additional charges apply

  • BTL “Core to Floor” Devices, including EMSELLA for urinary incontinence and sexual health and EMSCULPT NEO for muscle growth and fat-burning
  • Hormone pellet placement and insertion
  • Dysport, Daxxify, and Cosmetic fillers
  • ZO Skin Health skincare products
  • Microneedling, with and without PRP or stem cells
  • IV Therapy (Glutathione, NAD+, Iron Sucrose, Vitamin C, Immunity Blend, Vitamin B)
  • In-office injections (B12, Zofran, Kenalog, Vitamin D, Power Shot, Toradol, Rocephin)
  • Acute visits (first acute visit is included for Treatment Plan)
  • Watch Pat Home Sleep Study
  • Stem cell injections, IV therapy, and hair restoration
  • Prolotherapy injections
  • Ozone therapy treatments (sinus & ear, wounds, scalp, full-body, insufflation)
  • PRP injections, including joint regeneration, aesthetic, and hair restoration
Can P3 be my primary care provider?
We are not a conventional primary care provider, however, for many of our patients we can take the place of their PCP. Because you can call or text us during business hours, we are often able to take care of acute requests. P3 will refer out for all screening and/or preventative exams (i.e. - colonoscopies, mammograms, DEXA scans); except cervical cancer screens, which are done in-house.
What if I have an emergency?
We are not an emergency or urgent care center. If you require urgent care, you should immediately call 911 or contact an emergency care provider such as a local hospital or emergency room. The costs associated with emergency care services are not covered by your P3 plan.
What does unlimited email/text contact mean?
Every patient has questions about their care at some point, so we offer unprecedented access to your provider and the P3 team (via our secure patient portal, email, and text), so you can get quick answers to your questions (allowing 48-business-hours for a response). If a portal question or request is deemed by the P3 provider to be too complicated or involved for a response via email they may require a phone, telemedicine or in person visit instead of responding via email.
Does P3 have sub-specialists?
We are not specialists, however if you need to see an OBGYN, a surgeon, or a cardiologist, for example, you will be referred appropriately. The costs associated with the services provided by any other healthcare provider outside of P3 are not covered by your Treatment Plan.
What lab companies do you use?

It is part of our mission at P3 to ensure that we are on the cutting edge of proven science, as well as providing a good value to our patients. We are always seeking to ensure that our laboratory partners match us in this pursuit; and as a result, we may occasionally add or remove service providers from the following list when a superior option becomes available:

What is NOT included?
What is Health Coaching at P3 like?
Coaching is included in your P3 Tx Plan. We want you to have the support and tools needed to achieve your wellness goals. Our Health Coach will work with you to build a plan for developing sustainable healthy behaviors and strategies. This is done by creating realistic goals, working together to formulate small actionable steps, and providing accountability through phone, or text communication. At this time, all Health Coaching services at P3 are provided virtually.
Is P3 covered by insurance?
We do not accept any form of insurance at P3; however, you may submit your receipts to insurance, as your policy may cover out of network services according to their rules. We can also accept FSA/HAS cards for payment (see below).
Can I use my FSA/HSA?
Yes, you can use an FSA/HSA card for payment at P3. You will, however, be responsible for any charges that may be denied or rejected by your HSA plan. P3 will not write letters for medical necessity.
What if I receive a bill that I’m not expecting?
If you receive a bill from a lab, that you weren’t expecting, please contact P3 and we will work to clarify if there was an error and get it addressed. In other cases what you have received is not in fact a bill, but your insurance company denying payment of a claim. Actual bills come from the lab not the insurance company. If you are uncertain about a bill, let us know right away and we can help problem solve with you.
Why do you need my insurance card if you don’t accept it?
P3 keeps a copy of your insurance on file in order to facilitate claims billing at outside labs and companies with whom we refer and partner. Your insurance will be billed in accordance with their own policies.
Why am I billed monthly if I don’t have an appointment or service every month?
Patients on a P3 Treatment Plan who opt to make payments for the $3,000 fee throughout the year will pay $250 per month. These payments do not correlate to the timing or quantity of services.
What is the best way to communicate with P3?

P3 Patient Portal: The preferred, and most secure, communication option is through your P3 portal at You will be able to select the appropriate member of the P3 Team to direct your question to. The Portal should be used for anything pertaining to your medical care.

Texting & Calling: Our main phone number - 425.441.3330 - can be used for general questions and quick inquiries during business hours. Voicemails are checked throughout the day. For messages left after hours, please expect a returned call as soon as we are open again.

In-Person: 317 4th ST NW – Puyallup, WA 98371
Monday – Friday, 7AM – 5PM
Please enter on the parking lot side of the building.

Does P3’s approach to medicine really work?

Absolutely. We have found that the combination of evidence-based medicine and an empowering approach hands ownership of a patient’s health back to them – the best steward.

And it works. Our data shows our patients get past chronic illnesses, insomnia, metabolic abnormalities, gut dysbiosis, hormone imbalances, genetic polymorphisms, heart disease, and autoimmunity; all while reducing the need for expensive specialists. Our success is solely dependent upon clear communication and your dedication to learn. If you ever feel overwhelmed, know that you are not alone and that this work is our joy. You will always be able to reach out and ask for help.