TO MAKE AN APPOINTMENT  

To make an appointment with Keith McCormick,
call 413-253-9777. 

Initial appointments of 45 minutes to one hour, in person or by phone are $385. 

Fifteen to thirty minute follow-up appointments are $90 to $155.  

 

We ask you to send (BY MAIL only please...no email attachments) the following important information. Please do NOT staple or put dividers between pages. Please simply collect the following information and send to us. All pages (PLEASE: NO MORE THAN 60 PAGES OF INFORMATION) should be 8 1/2 by 11 standard page size. NO information on odd-sized, smaller note-size papers. If you have more than 60 pages of medical information please try your best to ELIMINATE any and ALL superfluous pages or summarize the best you can.

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• First: Please put your documents in order starting with a BRIEF (one page) health summary including any medications your are taking. This is where you can list important information such as other diagnosis', surgeries (and dates), etc.
   

• Second: Bone mineral density (DXA) test printout results. 
  The DXA PRINTOUT consists of 3 to 4 page paper of results from the testing. The DXA PRINTOUT is the information that the x-ray technician generated when they performed your DXA. This is the information that is sent to the radiologist for review. It is the DXA PRINTOUT that we want. NOT the one page radiologist's summary report. If you can only get the one page radiologists report for your DXA scans that are over 5-years old, that is perfectly fine. No need to get the full 3 to 4 page printout for your older DXA scans. And note, if you are finding that you are getting close to the 60 page limit of your total information, this a the perfect place to just include the one page radiologist DXA report. Please do not staple pages. PLEASE PUT IN ORDER - most recent DXAs first with the oldest ones last. 
  
  These test results can be black and white copies (color is not necessary) but must be of good quality (the thumb nail pictures of faxed copies are not clear, so please, no faxed copies). If you cannot get the paper printout, you may send us a CD of the DXA results but paper copies are preferred.
   

• Third:  Lab test results (with reference ranges) and X-ray reports from the past 2 years. (ONLY 2 years of lab results please.) Do NOT staple these together and do not put dividers between sections, or put into a notebook....just the results on standard 8 1/2 X 11 pages. And, just like the DXA results, please put your lab results in order--latest ones first and the older ones last. For example: we would like all info from 2024 (these obviously are the most important) to be first, then 2023 (or older) last.

• Note: No superfluous pages. Do not send ALL your records without going through them carefully and getting rid of unnecessary pages. For example, in many doctor's records they list tests that they "ordered". We do not need these. Also, there may be information such as EKG results or surgical reports--please do not include these. We only need the actually results of the ordered labs. We do not need the notation that your doctor ordered a test. Also please do not include repeat information. Take time to go through your health information and send only what is important.

• Note: Please do not send information in separate envelopes. Send all info as ONE packet. Information to be reviewed by Keith McCormick must be received at least one week prior to your appointment. NO last day emails with attached information. 

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Once we receive the above information we will call you to schedule your appointment (please make sure to include your contact information). During your appointment, Keith McCormick may determine that further laboratory testing is necessary. The following is a partial list of labs that he may suggest. Some tests should be performed in a "fasting" state to be more accurate which means nothing to eat or drink, except water, for 8 to 12 hours before. (Note:  We can order lab testing in all states except for New York, Rhode Island, and New Jersey and he does not accept insurance. We prefer to use LabCorp testing facilities but can order from Quest if necessary.) 

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The following is a list of lab tests that can be helpful in assessing bone loss:

(This is not a list of labs that you should try to get before speaking to Keith McCormick. This is simply a list of labs from which he may choose certain ones to order if he thinks they will be of help in assessing your particular case.)

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• CBC (complete blood count)

• CMP (comprehensive metabolic panel)  Fasting. 

• CTX (C-terminal cross-linking telopeptides of type 1 collagen) Fasting. Morning collection (between 7:00 and 8:30 a.m.....no later.) No supplemental collagen or biotin for 48 hours before the blood draw. CTX is a bone-resorption marker that measures how much bone collagen is in your blood. The higher the level, the more active is the osteoclastic and (usually) overall bone remodeling activity.

• CRP (hs-CRP) (high-sensitivity C-reactive protein)

• DHEA-S (dehydroepiandrosterone-sulfate)

• Electrophoresis (serum)

• Estradiol (ultrasensitive)

• Ferriten

• Gluten testing: Includes the following 4 tests:

•      Tissue transglutaminase antibody IgA

•      Deaminated gliadin peptide antibody IgG

•      Deaminated gliadin peptide antibody IgA

•      Total Immunoglobulin A (Total IgA)

• Homocysteine 

• Ionized calcium

• Magnesium (RBC-magnesium)

• P1NP (Procollagen type 1 N-terminal propeptide) This is a bone-formation marker that measures osteoblastic bone-building activity. No supplemental biotin or collagen for 48 hours before the blood draw.

• PTH (intact PTH) (parathyroid hormone)

• Phosphorous

• SHBG (sex hormone-binding globulin)

• Testosterone (total)

• Testosterone (free)

• TSH (thyroid-stimulating hormone)

• Vitamin D (25-hydroxyvitamin D)

• Vitamin D (1,25-dihydroxyvitamin D)

• 24-hour urine calcium (No supplemental calcium for 48 hours before or during the collection of urine.)

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