- Cryotherapy
- Primary CareIn the past decade we have seen significant changes in primary care medicine. Insurance reimbursements have stagnated, government regulations have increased and doctors are being replaced by mid-level providers. At the same time, advances in medical research, diagnostics and therapeutics have completely changed the way that we view and treat disease. Navigating through this new era of medicine can be challenging and high quality primary care is emerging as the avenue to optimal health. It is now more important than ever for patients to have a knowledgeable advocate to ensure that they are receiving the best medical care available.
- Family PracticeKaren graduated from Saint Louis University in 2008 with a Master of Medical Science. She then married her husband, Vishal Goyal, and they moved around the country for his physician training. Karen worked as a Physician Assistant in urgent care and family practice in Sacramento and Albuquerque.
- Emergency CareVicky previously worked at Santa Barbara Cottage Hospital for 10 years as a Registered Nurse (RN). She worked in different departments including medical surgical floors, outpatient surgery, as well as a dialysis nurse. She obtained her RN from Santa Barbara City College and her Bachelor’s degree from Cal State Fullerton. She attended UCLA from 2007-2009 and graduated with honors. After graduating from UCLA in 2009, Vicky continued to work in Santa Barbara & Ventura County. Her experience as a nurse practitioner includes working in the emergency room (St John’s hospital), primary care (Buellton Medical Clinic), home care visit (DASH), as well as providing care for patients in skilled nursing facilities (Sansum clinic).
- Flu ShotsSeptember 2021 ExtraCare Newsletter As the temperatures start to cool down, the kids head back to school and the days continue to get shorter it is a clear sign that flu season is just around the corner. We are happy to announce that our flu shots have arrived! As we all anxiously await the … Continue reading
- ElectrocardiogramExtended wellness visits that include a focus on preventative medicine including nutritional counselling, exercise counselling, anti-oxidant testing, cardiovascular risk factor analysis, EKG testing, Spirometry testing, cancer screening review and osteoporotic fracture risk analysis
- Immunizations17. Proof of Immunization. We will disclose proof of immunization to a school where the law requires the school to have such information prior to admitting a student if you have agree to the disclosure on behalf of yourself or your dependent.
- Eye Exam
- Internal MedicineDr. Hrach was certified by the American Board of Internal Medicine in 1995 and maintains her Board Certification by participating in the Continuous Professional Development Program. ( http://www.abim.org/verify-physician/Hrach-Barbara-SLsmkGGlK54=.aspx )
- Depression
- Mental Health3. Right to Inspect and Copy. You have the right to inspect and copy your health information, with limited exceptions. To access your medical information, you must submit a written request detailing what information you want access to, whether you want to inspect it or get a copy of it, and if you want a copy, your preferred form and format. We will provide copies in your requested form and format if it is readily producible, or we will provide you with an alternative format you find acceptable, or if we can’t agree and we maintain the record in an electronic format, your choice of a readable electronic or hardcopy format. We will also send a copy to another person you designate in writing. We will charge a reasonable fee which covers our costs for labor, supplies, postage, and if requested and agreed to in advance, the cost of preparing an explanation or summary, as allowed by federal and California law. We may deny your request under limited circumstances. If we deny your request to access your child’s records or the records of an incapacitated adult you are representing because we believe allowing access would be reasonably likely to cause substantial harm to the patient, you will have a right to appeal our decision. If we deny your request to access your psychotherapy notes, you will have the right to have them transferred to another mental health professional.
- Endocrinology
- Radiology