About Us

Health Access NP opened in 2015 as the first private NP clinic in BC. It was born out of the need to assist with the delivery of primary care due to the shortage of family doctors, and long ER wait times for minor issues in our rural area. Over the years, with just one NP and no government funding, the services were restructured to meet the unique needs of our local population.

Today, Health Access NP is open 4 days a week by appointment, mainly to treat adult clients requiring medical foot care; such as diabetics, those with poor circulation, wounds, infections, painful feet, neuropathy, or ingrown nails. Limited care is also provided to adults without a GP who wish to address a health concern, or who require assistance with metabolic health through LifeStyle medicine.

Maryanne Roy RN BScN MN-NP(A) FCN

Our Services

Comprehensive foot care and general health services for your well-being.

Foot Care Services

In clinic we offer expert trimming, corn and callus removal, fungal nail treatment, and ingrown toenail solutions.

Life Style Medicine

Personalized support for weight management, obesity treatment, and episodic primary care for Adults

Our Foot Care Services

LifeStyle Medicine--Your Metabolic Health

Our lifestyle choices can impact our health over time. Our Lifestyle can affect our weight, blood pressure, sleep, how we regulate our blood sugar and how our organs function. This intensive 3 month medically supervised program aims to prevent chronic diseases through the development of healthy habits that aim to improve both health and quality of life.

Metabolic Health Consultation Your medical history and a focused physical exam that includes your height, weight, BP, and waist circumference will be conducted. Your views on what constitutes health, and any struggles or successes you've had in the past will be reviewed. We will examine your health related goals, diet, exercise, and current functional state. A metabolic panel of lab work will determine your liver, kidney, and pancreas function and help to reveal any insulin resistance. A Lifestyle program will be developed with you based on your preferences, for your long term success. Medication at and additional cost to you**, may be ordered to achieve your health goals.

Initial Consult 30min ...............................................$175

3 --20min follow up telephone consults over 3 months are Required................$250

Program Completion review of labs and measurements.........................$175

Total Program Fee..................................$600

**Cost of medication paid by client

Primary Care-General Health Concerns

Whether its keeping up with your regular screening, addressing a specific concern, or to just talk about your general health, we have limited appointments for those adults without a GP.

Physical Exam includes history and Head to Toe physical examination,& BP check. A brief discussion of your health concerns, and any pertinent testing will be done. Results are delivered by phone. Abnormal results may be repeated or may result in a referral to a specialist. Pap smears, prostate exams and maternity care are not offered.

Physical...............................$150

Medication/Lab review......................$45

Episodic day- to- day problems Sometimes you have a sore throat, a bladder infection, or have an injury. Whatever the case, I can get your assessment, investigations and diagnosis started and then order the required treatment to set you back on the right path.

1 or 2 Problems..................................$125

Driver's Medical can be a complex assessment. An Eye exam by optometrist, and a letter from a specialist may be required. A medical history letter confirming your existing diagnoses from your previous doctor is required.

Driver's medical start at $125

Insurance and legal Documents Do you need proof of illness to receive your insurance coverage? Due to the varied nature of these forms and the follow up required, some assistance may be available.

Document Fee starts at $75

Medical Foot Care--approx. 1 hour

During Basic Care a general medical history is taken, followed by a focused physical exam of the feet and a brief gait analysis, then an assessment of your shoes for proper fit. The nails are trimmed, and filed, and any calluses, are removed. The feet are cleansed and moisturized with a foot massage to stimulate the circulation. Individualized Teaching is completed.

Basic Foot Care.....$80 plus sterile tool fee $15

Advanced Foot Care: Basic Care is completed with attention to individualized teaching on the care of Diabetic feet. Clients may have their circulation assessed by doppler/ABI and a monofilament and sensory exam will be performed. Wound care will be done, see below. Abnormalities indicating infection or structural deformity may result in referral to the local wound care clinic, a certified pedorthist, or a surgical podiatrist.

Advanced Foot Care....$125 plus sterile tool fee $15

Onychomycosis is the term for fungal infection of the toenails. It affects about 10% of the general population, 30% of diabetics, and 50% of those aged 70 and older. The first visit includes your Basic Foot Care with trimming and filing as well as an informed discussion on options for treatment or management Nail reduction with Basic Foot Care.......................$125

Nail testing and Pharmacological Treatment........................$90

Sharp debridement and Wound care of calluses, corns and wounds is a practice conducted by licensed RNs, NPs and GPs who have completed specialized training. Per simple debridement............$15

Simple Dressing wounds and ulcers.....................$45

Ingrown toenails require assessment, local anesthetic and removal with sterilized equipment and dressings. This is done in about 30min. Post- op wound care, teaching and written care instructions will be provided. Antibiotics may be prescribed during this visit. A follow up visit is included

Procedure fee.................$150

Orthonyxic (Nail) Bracing Is the local application of a flexible brace to the surface of an involuted nail for the purpose of relieving minor pain, correcting its curvature, or to prevent it from ingrowing. It is often a gentler approach than surgical removal when used early.

Nail Bracing per nail............$45

Medical foot care encompasses a broad range of skills and services, all of which are completed gently by a knowledgeable Nurse Practitioner.

Join Our Health Community

Stay updated on foot care and health tips.

Nail fungus is difficult to cure but easier to prevent. Did you know that washing and drying your foot wear regularly reduces transmission of fungal infections, and that wearing sandals in the change room at the pool can also prevent an infection?

The foot care services transformed my comfort and health. Highly recommend her expertise.

Larry C.

I appreciate the personalized care for my metabolic health.

Sharon K.

★★★★★

★★★★★