Simple membership Thoughtful care

TideShift Health is a direct primary care practice built on access, time, and trusted relationships—without insurance barriers or rushed visits.

Does this model work for me?

Carla Walter, PA-C, founder of TideShift Health, holding coffee in her Bremerton office.

Membership Benefits

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Membership Benefits ~

Membership at TideShift Health provides ongoing access to your provider through a simple monthly fee. This allows us to focus on your care—not billing, visit limits, or insurance rules.

Unlimited office and telehealth visits

30-90 minute appointments

Direct access to your provider between visits

After-hours support for urgent concerns

Medication management and monitoring

Minor procedures performed in clinic

Support with lifestyle and risk reduction

Care coordination and specialist referrals

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Still thinking it through?

Choosing your primary care provider is an important decision. If you’d like to talk through how membership works, I offer a complimentary 15-minute phone meet & greet. It’s a simple way to ask questions and see if it feels like the right fit.

Schedule meet-and-greet

That’s actually a great reason to join. Membership isn’t just for when you’re sick — it’s about staying well. I focus on preventive care, early detection, and reducing risk so small issues don’t become bigger ones. And if something does come up, you have direct access without scrambling for an appointment.
You’re not alone. If you’re unsure whether something warrants an appointment, just send me a message. We’ll decide together what the next best step is.
Send me a message and we’ll find a solution. I offer flexible scheduling and do my best to accommodate your availability whenever possible.
Instead of debating urgent care, you can message or call your provider directly. Often we can talk through symptoms quickly, decide next steps, and get you seen promptly if needed. You have guidance from someone who already knows your health history.
Yes. You’ll always see me. Building a consistent relationship allows me to truly understand your history, preferences, and long-term goals — which leads to more thoughtful, personalized care.