Connecting with our team

Contacting us 

The best way to contact us is in the Practice Better EHR or by text or Call at

509-548-4780

Please do not contact us more than one way unless there is a clear thread and a good reason. This limits our ability to reply to you or anyone else and creates confusion and redundancy. The EHR is secure and texting is through 3CX and has limited security, do not share health information there. You can also easily schedule a visit.

Staff is in the office 

(Available by phone only until we get more staff, send us your best people!)

Tuesdays and Thursday from 4:30-6 by appointment

This is where you find out what our current hours are. Updated 01/06/25

In addition to Sarah's scheduled appointments. You can drop in for a supplement or expect a response during these office hours. This will evolve as we offer more services and change our hours. We can not always be there so please make a plan with staff before you show up to be sure we are there for you! 

You can message us in practice better, email office@cascadewellness.com but maybe send us a text too if it is urgent and let us know what you need briefly in the text so follow through does not require digging, this will slow us down.

You can message us in Practice Better (the patient portal) - this is actually working well and may prove to be easier than texting if you are logged into the app. 

Records, Labs, Secure messages

Our new electronic Health Record system is called Practice Better. All previous client were sent an invite via email in June 2024 but it is easy for us to send a new one, just ask. We can even text it to you! The new system is so easy! 

You don't even need to log in to book an appointment, just choose your visit type and location and let us know you need an invite in the notes if you do!

Click here to book an appointment

The patient portal has an app and many ways to communicate with us about your health so let's get you in there!

(reminder you have to answer and email invite that we sent, or ask for a new one, text us 509-548-4780)

Click here to access the Patient Portal

These links are also at the top of the home page.

How do I get Sarah Piestrup LAc, FNP, IFMCP?

You make an appointment. She has evisits available for short questions on the phone regularly and this is almost always the most effective and fastest way to find a time to connect.

Sarah can not answer phone calls, emails or messages without an appointment but she can refer to them in one. 

Prescriptions (Rx) and supplements 

Click here to log in for supplements

Rx Drugs - Send request through practice better or CALL 509-548-4780 and press 2 for Rx requests.

Sarah reviews Rx requests on Tuesdays and Thursday mornings from these sources. If you use another method it will likely slow the request down. 

Ask us, not your pharmacy. Faxes are the slowest way to get ahold of us and are invariably handled before they can be sorted. We will not respond to a fax unless you contact us another way.

If you need a refill, you might need an appointment to get one. Legally we have to have seen you in the last year so Sarah does initial refills until that time is up or sometimes she will reduce the time so that you can check in about dose and symptoms or do recheck bloodwork for things like a volatile thyroid or concerning cholesterol or hemoglobin A1c for example. 

The log in for supplements is so that we can continue to sell you prescription grade supplements at the best price possible. When it is a prescription there is no tax and your active patient discount code will get you 10% off at check out on top of that. We also use Fullscript and Wholescript and Doctors Supplements - links coming soon. We are about to make this easier! We will send you a password and make it available on the patient portal for active patients. Please avoid purchasing on Amazon, it's not safe. 

We no longer recommend a few brands that have sold out over the years and are now of questionable quality. This includes Thorne, Pure, Garden of Life, and some others. If a company is selling anything with cyanocobalamin in it, avoid everything they make. Feel free to bring in what you have, our goal is to get you what you need to get well. That includes food ideas and supplements that are not harmful and that contain what they say they do. What you put in your body matters so make an appointment and we can go over it with you! Sarah has met the owners of the companies, been to the factories and payed close attention to the progress of supplement companies over the last 20 years so she can help you choose even if you don't buy from us.

Classes 

We are offering regular classes. Sign up is in Practice Better. We will update our website with current class links to sign up without logging in! 

Let us know what you don't know and we will add it here for everyone! - Thanks, The Cascade Wellness Team