What to Expect at The Restorative Medicine Center

Please review the information below to set yourself up for a successful start on
your healing journey.

Getting Started

Welcome to The Restorative Medicine Center

We want your visit to be as smooth and stress-free as possible! To help ensure everything goes seamlessly, please follow the steps below and complete all necessary forms ahead of time. This will allow us to focus on what matters most—your health and healing.

Sign on to Your PATIENT PORTAL

As soon as you receive the email invitation from our office, please take a moment to set up your Patient Portal username and password. This will be our main way of communicating with you electronically once you’re a patient, making it easy to access important updates and stay connected!

Fill Out Your
NEW PATIENT QUESTIONNAIRE

Taking the time to fill out your new patient questionnaires thoroughly will give us a clear picture of your medical history from the very start. This helps us better understand your needs and provide the best care possible.

To avoid feeling rushed, please set aside plenty of time before your appointment to complete them.

Create Your
HEALTH TIMELINE

Your Health Timeline is one of the most important tools in helping us understand your journey and uncover the root causes of your health concerns. Taking the time to fill it out thoroughly will give us a clearer picture of what you’ve been through and how we can best help.It may be helpful to gather old medical records as you complete this. Start your timeline from the point when your current issues became problematic, and be sure to include:

✔️ Practitioners you've seen
✔️ Treatments you've tried
✔️ How those treatments affected your symptoms

Looking at how your body has responded to past treatments gives us valuable insight into what’s working, what’s not, and how we can create the most effective path forward for you. Take your time with this—it will be well worth it!

What To Expect

What to Expect at The Restorative Medicine Center

Initial Consultation

During this time, the doctor will:

  • Review your new patient questionnaire
  • Discuss your medical history, symptoms, past treatments, and lab work
  • Go over your current medications and supplements

We encourage you to be open and honest during this process—this helps us create the most effective treatment plan for you. No judgment, just support.

Once all the necessary details are gathered, the doctor will share her clinical impressions and outline a personalized care plan tailored to your needs. If lab work is recommended, she will walk you through the process and next steps.

Your initial appointment will last about 60 minutes and can take place in person, over the phone, or via Zoom—whatever works best for you!

Follow-Up Consultations

Follow-up visits typically occur 2-8 weeks after your initial consultation, depending on lab results. The second visit is also 60 minutes, while subsequent visits are generally 30 minutes.

During follow-ups, the doctor will:

  • Assess your progress and any changes in symptoms.
  • Review your treatment plan and adjust therapies as needed.

To streamline this process, please complete your Follow-Up Questionnaire before each appointment. Proper follow-up is essential for monitoring your progress and ensuring your treatment is effective. As your health improves, follow-ups will become less frequent.

At the end of each visit, you will receive a summary of your appointment with clear instructions for next steps. This summary will be provided in paper form for in-person visits or accessible through the Patient Portal under the "Visit Summary" tab.

Root CausE Triad testing

Your testing journey begins at your first appointment and is tailored to fill in any knowledge gaps based on previous tests you’ve had.

We typically start with LabCorp bloodwork to assess immune function, key nutrient levels, and genetic predispositions. In most cases, LabCorp testing is covered by insurance, though this depends on your specific plan.

If needed, we may also recommend specialized out-of-pocket testing to uncover deeper drivers of immune imbalance. These tests can provide critical insights, and the sooner we have this information, the better we can tailor your treatment. However, we always prioritize testing based on your individual needs and budget.

Some of the specialized tests we may suggest include:

Mosaic MycoTox – Detects current environmental mold exposure.
DNA Connexions Lyme Panel – A PCR test for vector-borne infections.
Stool testing or urine organic acid testing – Helps assess internal fungal overgrowth.


Since every person is unique, we determine testing on a case-by-case basis to ensure the best approach for your health.

Our Office

Our Office is located at 705 Barclay Circle, Suite 115 in Rochester Hills, MI.  It is off of Rochester Road just north of M59 across from the Oakland County Court House.  Please see the Contact Us page for a map and driving directions.

Dr. Birkmeier-Fredal is available Monday through Thursday, 9 AM to 5 PM. The office is closed on Fridays, and messages will be addressed the following Monday. Phones are off from 12 PM to 1 PM for staff lunch.

All visits and consultations are by appointment only.

Fee schedule

Understanding Our RMC
Fees & Policies

At The Restorative Medicine Center, we are committed to providing transparent and comprehensive care tailored to your needs. Our consultation process is designed to ensure you receive personalized attention, whether in person, over the phone, or via video. We offer detailed information about our fees and office policies to help you navigate your healthcare journey with confidence.

Consultation Fees

Effective January 1st, 2025:

Initial Consultation: $10/minute

  • Example: 60-minute in-person visit = $600

Follow-Up Consultations: $9/minute (available in-person or remote)

  • Less than 10 minutes: $90
  • 20 minutes: $180
  • 30 minutes: $270
  • 45 minutes: $405
  • 60 minutes: $540

Please note: The final cost is based on the total time spent during your appointment, which may be more or less than the scheduled duration.

Appointment Time

You will be billed for the full duration of your appointment. Dr. B values your time and works hard to stay on schedule, so we kindly ask that you do the same. Your total appointment time covers all aspects of your care, including chart reviews, test result analysis, and post-appointment summaries. The good news? Most of this time is spent directly with Dr. B, giving you a thorough, personalized experience where all your concerns are addressed.
We appreciate your partnership in making each visit as efficient and meaningful as possible! Medical letters are also a billable service.

Dr. Birkmeier does not assist with disability or FMLA filings; please contact your Primary Care Doctor for these services.

INSURANCE COVERAGE AND REIMBURSEMENT

The Restorative Medicine Center does not accept or bill insurance. We can provide a superbill for you to submit to your insurance carrier, but reimbursement is not guaranteed.

LabCorp, located in our office, accepts most insurances, but we encourage you to verify coverage with your provider.

Cancellations and No Shows

A 3 business day notice is required for cancellations or rescheduling. Less notice incurs a fee equal to the missed appointment cost.

FULLSCRIPT Online Supplement Store

We do not stock supplements or products in our office. However, most of our recommended supplements can be conveniently ordered through Fullscript, our online dispensary. Use the link below to access a 25% discount on all products:

https://us.fullscript.com/welcome/tbirkmeier-fredal1553779100

Your family and friends are welcome to sign up too and enjoy the savings!

Accessing Patient Resources

Our Patient Resources section is designed to provide you with essential information and tools to support your healthcare journey. Here, you will find a variety of resources, including forms, educational materials, and guidance on navigating our services. We aim to empower you with the knowledge and support needed to make informed decisions about your health and well-being.

Start Your Healing Journey Today

Discover how we address root causes for true healing and personalized wellness solutions.