Concierge Access & Communication Guidelines

As a valued member of our Integrative Women’s Health community, you have direct text access to your healthcare provider for personalized support. To ensure high-quality care and healthy boundaries, please review the following concierge parameters:
 

Provider Texting Access:

• Available Hours: Monday–Friday, 9:00 AM – 5:00 PM HST, 2nd and 3d Saturday 9-12pm

• Response Time: Within 24 business hours for most messages

• After-Hours or Weekend Texts: Messages received outside office hours will be reviewed on the next business day. If you have an urgent medical issue, please call 911 or go to the nearest emergency room.

Appropriate Use:

• Medication refill requests

• Lab result clarifications

• Supplement or protocol questions

• Quick updates on progress or side effects

Not Intended For:

• New or complex concerns (these require a scheduled visit)

• Emergency issues

• Diagnoses, prescriptions, or treatment plan changes without evaluation

•  

Time Off & Coverage:

• Provider Availability: Dr. Guzman and her team may observe holidays and designated rest weeks throughout the year for professional and personal renewal.

• Notification: Members will receive advance notice via text or email of any scheduled provider time off.

• Coverage: During these periods, messages will be triaged by clinic staff or temporarily paused until the provider’s return.

Respecting Balance:

Our goal is to offer a concierge-level relationship while modeling balance and self-care — the same principles we encourage in your wellness journey. Thank you for respecting these boundaries and helping us provide the highest level of care to all members.