Free Initial Consultation

Dr. Fleming provides 15 minute free initial consultations to all patients.  This appointment allows the patient and Dr. Fleming to determine if the Vital Aging Clinic can best serve you.  Discussion of treatment options and patient expectations as well as specific concerns are commonly discussed.  No diagnoses can be made during this appointment.

First-time Office Visits

First-time office visits consist of a complete medical history, physical exam and health assessment, as appropriate to the concerns of the patient. These visits are approximately 100 minutes long.

Regular Office Visits

Routine office visits are scheduled for 45 minutes. This allows ample time to review current treatment and progress as well as address any new concerns.

House Calls

Ill health can sometimes make office visits impractical.  Dr. Fleming will make house calls within 20 miles of the Vital Aging Clinic for those in need for a modest surcharge.


All fees are to be paid at the time services are rendered. An on-site dispensary is available for purchases if desired. Cash and checks are preferred, but all major credit cards are accepted.

First Office Visit: $190

Return Office Visit: $95

Insurance: Dr. Fleming directly bills some private insurance. Please speak to Dr. Fleming directly about your insurance coverage.

Online Appointment Scheduling