All appointments with Elizabeth Rogge ARNP are in person only, with coronavirus precautions to include mask during visit. Instructions are in the waiting room

Medical appointments with Timothy Rogge MD are virtual via phone call or Google DUO (see below) video. He will call you.

Take Charge

It’s important that everyone take steps to reduce the spread of novel coronavirus, especially to protect those who are more vulnerable. Steps you can take to prevent spread of flu and the common cold will also help prevent coronavirus:

  • maintain 6 ft distance from others not in your household.

  • wear mask when outside your house.

  • wash hands often with soap and water for at least 20 seconds. If not available, use hand sanitizer.

  • avoid touching your eyes, nose, or mouth with unwashed hands

  • avoid contact with people who are sick

  • stay home while you are sick and avoid close contact with others

  • cover your mouth and nose with a tissue or sleeve when coughing or sneezing

  • Strengthen your immune system by taking supplements such as Vitamin D3 at bedtime, Vitamin B complex in the morning;   balanced and nutritious food, early to bed; meditation

  • Structure your day similar to your pre pandemic routine, if you are working from home.  Similarly, if you have school age. Schedule their learning time and your breaks at the same time.  Flexibility is key. 

  • Go outdoors for walks and play, around your property or neighborhood while observing 6 feet distance from the next person.  Benefits: fresh air, energy boost, minimize feeling trapped or confined, sunshine, improve mood  and more.

  • Take advantage of the time that just became available from not commuting to and from work, getting dressed etc.  You can  finish and enjoy unfinished projects, call special people who previously you had no time to call, spend time with your family, start exercise routine, catch up with your sleep, and more, all  for free.

  • Be mindful of comfort eating, watching too much pandemic related news, and inactivity.

  • Taking charge will help mitigate feelings of helplessness that typically lead to anxiety and depression.

Telephone with or without video

The Office for Civil Rights (OCR) at the Department of Health and Human Services (HHS) issued the suspension of enforcement of HIPAA penalties around telehealth, patient communication, and remote communication technologies  during the Covid-19 National Emergency 


Please be informed that these third-party applications can potentially introduce privacy risks. 


For video visits we use Google Duo.  You  may download this app from https://g.co/duo to the  device (laptop, tablet, or smart phone) you wish to use during our appointment.


For Duo calls, end-to-end encryption means that a call's data (its audio and video) is encrypted from your device to your contact's device.

Opioid Withdrawal Symptoms

These symptoms include:

  • muscle and bone pain

  • sleep problems

  • diarrhea and vomiting

  • cold flashes with goose bumps

  • uncontrollable leg movements

  • severe cravings

 Marijuana withdrawal symptoms: irritability, trouble sleeping decreased appetite, anxiety