Chronic Disease Management

Our Chronic Disease Management services provide continuous, coordinated care for patients living with long-term health conditions. Our goal is to help you maintain stability, improve quality of life, and prevent complications through proactive and personalized treatment plans.
We work closely with each patient to monitor progress, adjust care as needed, and provide the support necessary to manage complex health needs effectively.
Chronic Disease Management Services:
- Individualized Care Plans – Tailored treatment strategies based on each patient’s condition and goals
- Ongoing Monitoring – Regular check-ins, lab tests, and symptom tracking to prevent escalation
- Medication Management – Review, adjustment, and education to ensure safe and effective use
- Coordinated Specialty Care – Collaboration with cardiology, endocrinology, pulmonology, and more as needed
- Patient Education – Tools and coaching for lifestyle changes, diet, exercise, and disease-specific self-care
- Support for Multiple Conditions – Integrated care for patients managing diabetes, hypertension, heart disease, COPD, and more
Trusted Provider
Holly Hawks, FNP - BC
Primary Care
Holly Hawks, FNC - BC is an experienced and highly regarded advanced registered nurse practitioner specializing in family and internal medicine. With a reputation for providing patient-centered, comprehensive care, Holly is committed to ensuring every individual receives the highest standard of medical attention. Her expertise covers preventive medicine, chronic disease management, treatment planning, and ongoing care coordination.
- Phone Number+1 360-286-2072
