A woman in midlife smiling warmly, representing SAPIA Medical's patients

Online Perimenopause & Menopause Care in Washington

If your sleep, periods, mood, or weight have changed and you're not sure why, you deserve a physician who has time to listen. SAPIA Medical offers physician-led telehealth care for women across Washington.

Your physician is licensed in Washington. Visits happen by secure video from home, and your first appointment is a full hour.

We care for women in perimenopause and menopause, including hormone therapy, metabolic health, and weight management, with the same physician from visit to visit.

Availability

SAPIA Medical Is Available to Women in Washington

If you live in Washington, you can see a SAPIA Medical physician by secure video from home. Your physician is licensed in Washington, and you see the same physician from visit to visit.

We care for women in perimenopause, menopause, and the years around them who are tired of being rushed or told it's just aging. You might be:

  • Noticing changes in your sleep, periods, mood, energy, or weight, and not sure what's behind them
  • Already in menopause and wondering about hormone therapy or other options
  • Gaining weight or losing muscle in midlife even though you haven't changed what you do
  • Looking for a physician who will take a full hour to hear your story
  • Living somewhere that menopause-focused care is far away or has a long wait
Your Physician

Physicians Licensed in Washington

Every SAPIA Medical visit in Washington is with a physician who holds a Washington medical license. That matters because your physician has to be licensed in the state where you are during the visit.

Anastasia Collins, D.O.

Dr. Collins is a board-certified family physician with ten years in family practice. She trained at Rocky Vista University, completed her residency in California, and is licensed in Washington. She is an active member of The Menopause Society.

What We Treat

Care for Every Stage of Midlife

How Care Works

How Care Works in Washington

Telehealth visits

Visits happen by secure video, from your home or anywhere private in Washington. You need to be physically in Washington during the visit, because that is where your physician is licensed to treat you. If you're traveling outside the state, tell us and we'll find a time that works.

Your first consultation

Your first visit lasts 60 minutes. We talk through your symptoms, periods, health history, medications, sleep, nutrition, and goals. If your physician orders labs, a 20-minute visit to go over the results is included. After that, follow-up visits are 20 minutes, about once a month or as often as you need.

Labs

We order labs when the results will change your care, not as a routine panel for everyone. When your physician orders them, the order goes to a lab draw site near you in Washington. Labs are billed separately from your membership.

Prescriptions

If a prescription makes sense, your physician sends it to the pharmacy you choose. We prescribe FDA-approved products. We don't use compounded hormones or compounded weight-loss medications.

Some medications are controlled substances and come with extra state and federal rules. Your physician will explain what applies to you before anything is prescribed.

Pricing

Pricing You Can See Before You Book

Care starts with a 60-minute initial consultation, followed by a monthly membership. Your membership covers:

  • Follow-up visits with your physician
  • Secure messaging with your care team between visits
  • Prescription management, including hormone therapy when appropriate
  • Lab review and interpretation
  • Weight, metabolic, and nutrition support
  • Meal plans and other educational resources available in patient portal

Labs and medications are billed separately, so you only pay for what you need. Current rates are on our pricing page.

Washington Details

What to Know as a Washington Patient

Where we see patients

We see patients anywhere in Washington, from Seattle, Tacoma, and Spokane to smaller towns and rural areas. If you have a private place and a reliable internet connection, you can have your visit from home.

When you need an in-person visit

Some parts of midlife care have to happen in person, such as mammograms, bone density scans (DEXA), and pelvic exams. When that's the case, your physician will tell you what you need and help you get it done with a provider near you. With your permission, we can coordinate with your primary care clinician so the results are part of your plan.

Your health data

Washington's My Health My Data Act sets rules for how consumer health data is collected and used. You can read how we handle it in our Washington consumer health data notice.

If you have chest pain, severe shortness of breath, fainting, or a sudden severe headache, call 911 or go to the nearest emergency room. If you're having thoughts of harming yourself, call or text 988 to reach the Suicide & Crisis Lifeline. SAPIA Medical is not an emergency service.

Clear Answers. Greater Confidence.

Frequently Asked Questions About Care in Washington

Is SAPIA Medical available in Washington?+

Yes. SAPIA Medical offers telehealth care to women located in Washington, with physicians who are licensed in the state.

Do I need to be in Washington for my visits?+

Yes. You need to be physically in Washington during your visit, because that is where your physician is licensed to treat you. If you live here but will be traveling, let us know when you book.

Can I get hormone therapy through a telehealth visit?+

Yes, if it's right for you. Your physician reviews your symptoms, health history, and risk factors first, then explains the benefits, risks, and alternatives before prescribing anything. We prescribe FDA-approved products and don't use compounded hormones.

Where do I get lab work done?+

When your physician orders labs, you receive an order for a lab draw site near you in Washington. A 20-minute visit to review the results is included with your initial consultation.

What if I need a mammogram, bone density scan, or in-person exam?+

Your physician will tell you what you need and help you get it done with a provider near you. With your permission, we can coordinate with your primary care clinician or other providers.

Is telehealth appropriate for menopause care?+

Much of perimenopause and menopause care works well through telehealth. Some concerns need an in-person exam, imaging, a procedure, or another specialist. Your SAPIA physician will tell you when that's the case and help you get it.

What does care cost?+

Care starts with an initial consultation, followed by a monthly membership that covers follow-up visits, messaging, and prescription management. Labs and medications are billed separately. See our pricing page for current rates.

Ready to Start Care in Washington?

If your sleep, mood, energy, weight, focus, or sex life has changed, you deserve a real medical conversation about it.

We listen first. Then we build a plan with you.

Get Started With SAPIA
ListenTreatSupportEmpower