• Annual wellness exams
  • Well woman (gynecologic) exams
  • Preventive health care services
  • Sports and school physicals
  • Sick visits
  • Urgent care
  • Management of chronic diseases: diabetes, high blood pressure, high cholesterol, etc.
  • Smoking cessation
  • Anxiety and depression
  • Evaluation of fatigue
  • Weight management and weight loss
  • Allergies, asthma and emphysema
  • Low testosterone, prostate problems and erectile dysfunction
  • Migraines and headaches
  • PMS, menopause and osteoporosis
  • Thyroid and endocrine disorders
  • In office lab testing: blood sugar, strep, flu, urine
  • Genetic testing, when indicated
  • End-of-life and hospice care
  • Cancer screenings
  • Skin biopsy
  • Simple laceration repair
  • 24/7 access to Dr. Lacara by cell, email, text, Telehealth platform (Skype)
  • Guaranteed same-day or next-day office visits
  • Extended office visits 30 minutes or longer
  • Home visits (“house calls”) if necessary
  • Hospital visits to coordinate care with hospitalists
  • Care coordination with medical specialists
  • Discounts on labs and radiology
  • Accompaniment to specialist visits when medically necessary
  • One complimentary chiropractic consult and treatment for back or neck pain per year
  • One medically supervised weight loss consult per year
  • One complimentary acupuncture consult per year
  • One aesthetic consult per year
  • 10% off Botox® and filler treatments performed by Dr. Lacara
  • 20% off all SkinMedica® products
  • $60 facials at The Spa at Mecca
  • $20 off Hydrafacials
  • 10% off Dermaplaning
  • $60 massages in The Spa at Mecca
  • 10% off Lila Inch Loss Laser
  • 10% off laser treatments performed by Dr. Lacara
  • Visiting friends and family members treated without charge
  • Children of members, newborn through 12 years of age, may be seen for acute visits free of charge

Benefits of a Different Kind of Personalized Medicine in Fairfield – Concierge Medicine

Accessibility and Timely Conversations

Your concierge medicine-style care at Continuum means you can talk to Dr. Lacara when you need to, on your schedule. Dr. Lacara makes herself available to her direct primary care patients 24/7 via phone, email, text or Skype. You can have same-day or next-day visits when you need them.

Patient-Centered Approach

In addition to treating common and complex medical issues, Dr. Lacara takes the time to get to know you and your family as well as the interests, activities, stressors and goals that influence your daily life. If you have become accustomed to assembly-line medicine like so many patients today, you’ll appreciate Dr. Lacara’s relaxed, unhurried, extended office visits and comprehensive, personalized primary care.

Doctor-Patient Relationship

Dr. Lacara believes in relationship-driven preventive health care where the practice size is kept deliberately small, enabling more attentive, convenient care just like the "old-time" family doctor provided. The doctor-patient relationship is the core of her practice. She truly partners with her patients as a family doctor, advisor, confidante and friend, always there for you when you need her.

Truly Personalized Care

Dr. Lacara feels she can be the best doctor when she has time to truly get to know you. That’s why her appointments are a minimum of 30 minutes while the typical assembly-line doctor spends only 7 to 10 minutes with you. Also, by limiting her practice to a few hundred patients, she can tailor your treatment and care specifically for you as an individual. Consider that the average primary care physician manages 2,500 to 3,000 patients, making it very difficult to provide high-quality personalized care.


For the cost of a Starbucks coffee each day, Dr. Lacara will provide virtually all your direct primary care health needs. You won’t have to meet insurance deductibles or make copayments or worry about coinsurance. If you have health insurance, we will continue to bill them for covered expenses. In addition to the core services we provide, you will enjoy 24/7 access to Dr. Lacara, extended office visits of 30 minutes or more, deeply discounted lab and radiology pricing, plus comprehensive compassionate care, end-of-life care and house calls when necessary.

If you are interested in this level of personalized, comprehensive care and are looking for a family doctor and primary care physician to partner with you through sickness and health, then click here to become a member. We will be happy to help families and people of all ages from Fairfield, Lincoln Park, Little Falls, Montclair, Cedar Grove, Essex Falls, Caldwell, North Caldwell, West Caldwell, Montville, Roseland, Wayne and Verona, NJ.

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How We Differ

"Comprehensive Family Medicine Minus the Red Tape"

The doctor patient relationship is the core of the practice. A true partner in your healthcare.

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Personalized Care

From a physician who takes the time to get to know you, by limiting the practice size to a few hundred, we are able to tailor your treatment to you.

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Your own personal physician available 24/7. Contact your doctor when you need in the way that suits you best; text, email or skype. Same or next day visits guaranteed.

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Our Patients Say it Best

Unfortunately, not everyone has you as their doctor. When I leave your office, I know you took the time to thoroughly look in to all scenarios and solutions and the root cause. But besides that, you make me feel like I'm visiting my family and someone who gives a damn. I don't feel like a number. Keep doing what you do and never change. I am blessed/lucky to have you as my doctor.
Tom F

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