Sandra M. Garred, MD

Dr. Garred's MDVIP-affiliated practice charges an annual membership fee of $2,200, payable in quarterly installments of $550, semi-annual installments of $1,100, or as a single annual payment. This fee covers the MDVIP Wellness Program, which includes comprehensive advanced health screenings and diagnostic tests. The practice also continues to bill insurance for other medical services such as sick visits, copays, and deductibles.

Yes, the practice accepts insurance for medical services like sick visits. The annual membership fee covers preventive care and advanced diagnostic services that insurance typically does not include. Patients should contact the practice directly to confirm whether their specific plan is accepted.

Yes. Dr. Garred offers same or next-day appointments for acute symptoms or concerns. The smaller panel size at her MDVIP-affiliated practice makes this level of access possible consistently.

The MDVIP Wellness Program includes comprehensive health screenings and advanced diagnostic tests that go well beyond standard preventive care. Dr. Garred uses these results to build a custom wellness plan tailored to each patient. This program forms the foundation of her proactive, root-cause approach to health.

Yes. Dr. Garred is reachable by phone after hours and on weekends for urgent matters. m. m. m. to noon.

Yes, reducing or eliminating prescription medications where appropriate is a key part of Dr. Garred's philosophy. She works with patients to address health problems through lifestyle, dietary, and nutraceutical approaches first. If medication becomes necessary, she discusses that option collaboratively with the patient.

Dr. Garred builds her integrative approach on three pillars: current evidence-based medicine, alternative and holistic medicine, and her Christian faith. She applies functional medicine principles to search for root causes rather than treating isolated symptoms. When appropriate, she may offer to include a patient in her prayers as part of holistic support.

Dr. Garred's practice focuses on adult patients. Her background in internal medicine makes her well-suited to managing both preventive care and complex chronic conditions in adults of all ages.

The practice sits at 1308 South State Highway 16 in Fredericksburg, Texas. Dr. Garred holds a hospital affiliation with Peterson Regional Medical Center, which serves the surrounding Hill Country region.

Prospective patients can request a meeting with Dr. Garred through the MDVIP website or by calling the practice directly at (830) 998-8204. The enrollment form allows you to join immediately, schedule a meet-the-doctor visit, or request more information before committing.