Scope of Care

Comprehensive Virtual Primary Care

Physician-led family medicine delivered through secure telemedicine. We treat the full spectrum of conditions traditionally managed in primary care, with the time and attention your health deserves.

18+ Clinical Categories100+ Conditions Treated1 Physician Relationship

Same Day

Acute care appointments available

100%

Virtual via HIPAA-compliant telehealth

Your Physician

Dr. Nkrumah for every visit

Sankofa Family Medicine provides comprehensive, virtual-first primary care across the majority of conditions traditionally managed in family medicine. Our approach combines clinical excellence with the convenience of telemedicine, ensuring you receive thorough, personalized care without compromise.

Clinical Focus

Cardiometabolic Health Excellence

Heart disease and metabolic conditions are deeply connected. Dr. Nkrumah takes an integrated approach to cardiovascular and metabolic health, addressing the root causes rather than treating symptoms in isolation. From hypertension and diabetes to lipid optimization and weight management, your care plan is built around your unique physiology.

70%

of chronic disease is metabolic

45min

average visit length

100+

biomarkers tracked

1:1

physician relationship

Primary Focus Areas

Conditions We Treat

Comprehensive primary care across the full spectrum of family medicine, delivered with the time and attention your health deserves.

01

Cardiometabolic and Endocrine

Heart health meets metabolic optimization

  • Hypertension and blood pressure management
  • Hyperlipidemia and cholesterol optimization
  • Prediabetes and Type 2 diabetes
  • Obesity and metabolic syndrome
  • Thyroid disorders including hypothyroidism and hyperthyroidism
  • Polycystic ovary syndrome (PCOS)
  • Fatty liver disease (MAFLD and NAFLD)
  • ASCVD risk assessment and cardiovascular prevention
02

Weight, Energy, and Prevention

Sustainable transformation through medical science

  • Medical weight management with prescription therapies
  • Weight loss medications when clinically appropriate
  • Weight regain following prior interventions
  • Insulin resistance and metabolic fatigue
  • Cardiometabolic risk reduction
  • Lifestyle modification and behavioral support
03

Mental Health (Primary Care Scope)

Integrated support for mind and body

  • Depression (mild to moderate)
  • Anxiety disorders including generalized and social anxiety
  • Adjustment disorders and life transitions
  • Burnout and chronic stress conditions
  • Sleep-related mood disturbances
  • Adult ADHD (established diagnosis, stable management)
  • Grief and bereavement support
04

Musculoskeletal and Pain

Movement without limitation

  • Osteoarthritis evaluation and management
  • Chronic low back and neck pain
  • Myofascial pain syndromes
  • Overuse and repetitive strain injuries
  • Fibromyalgia
  • Gout and hyperuricemia
  • Osteoporosis screening and management
05

Gastrointestinal and Respiratory

Digestive wellness and respiratory clarity

  • GERD and acid reflux management
  • Irritable bowel syndrome (IBS)
  • Chronic constipation or diarrhea
  • Asthma (mild to moderate, stable)
  • COPD maintenance and monitoring
  • Allergic rhinitis and chronic sinusitis
  • Sleep-disordered breathing and CPAP follow-up
06

Acute Telemedicine Care

Same-day access when you need it most

  • Upper respiratory infections and pharyngitis
  • Acute sinusitis and bronchitis
  • Uncomplicated urinary tract infections
  • Skin conditions and dermatologic concerns
  • Minor gastrointestinal illnesses
  • COVID-19 and influenza evaluation
  • Urgent medication refills and management

Specialized Care

Additional Clinical Services

Focused care for specific health needs, all within the primary care relationship.

Women's Health

  • Contraception counseling and management
  • Menopause and perimenopause care
  • Hormone replacement therapy
  • Menstrual disorders
  • Cervical cancer screening coordination

Men's Health

  • Erectile dysfunction
  • Testosterone evaluation and management
  • Prostate health screening
  • BPH symptom management

Sexual and Reproductive Health

  • STI screening and treatment
  • HIV PrEP and monitoring
  • Sexual health counseling
  • Reproductive planning

Dermatologic Conditions

  • Acne and rosacea
  • Eczema and psoriasis
  • Skin infection triage
  • Teledermatology referral

Neurologic and Cognitive

  • Migraine disorders
  • Tension headaches
  • Insomnia and sleep disorders
  • Peripheral neuropathy

Hematologic Conditions

  • Iron deficiency anemia
  • B12 and folate deficiency
  • Anticoagulation management

The Evidence

Why This Model Works

Virtual care with adequate time produces measurable results.

01

90%+

Equivalent Outcomes

Peer-reviewed research confirms virtual primary care achieves equivalent or superior outcomes for conditions traditionally managed in family medicine.

JAMA, Annals of Internal Medicine

02

3x

Longer Visits

Your appointments are 45 to 60 minutes. The national average for primary care is 15 minutes. Time is the foundation of understanding.

vs. national average

03

Same Day

When It Matters

Acute concerns are addressed immediately. The average wait for a new patient appointment in traditional care exceeds 26 days.

Merritt Hawkins Survey

"The quality of care is inseparable from the quality of the relationship."

The Sankofa Philosophy

Beyond the Visit

Comprehensive Care Coordination

Your health journey extends beyond individual appointments. We provide end-to-end care coordination, connecting you to the diagnostics, specialists, and resources you need while maintaining continuity across all touchpoints.

Learn about membership benefits
  • Laboratory ordering, interpretation, and longitudinal tracking
  • Diagnostic imaging orders and coordination
  • Specialty referral facilitation and care navigation
  • Remote patient monitoring for blood pressure, glucose, and weight
  • Chronic care management and personalized care plans
  • Care transitions support following hospitalization
  • Prior authorization assistance
  • Medical records coordination

Clinical Approach

Sankofa Family Medicine treats the majority of conditions traditionally managed in family medicine when appropriate for virtual care delivery. Conditions requiring physical examination, in-person procedures, advanced imaging interpretation, or urgent physical intervention are referred or escalated to appropriate in-person or specialty care.

We maintain relationships with trusted specialists and facilities throughout Washington State to ensure seamless care transitions when in-person evaluation is clinically indicated.

Telemedicine Standards

All care is delivered via secure, HIPAA-compliant telemedicine technology in accordance with Washington State telemedicine regulations (RCW 48.43.735, ESSB 5481).

  • Virtual visits meet applicable standards of care for family medicine
  • Services available to patients located in Washington State at time of service
  • In-person referral provided when clinically indicated
  • Controlled substance prescribing follows current DEA regulations

Transparency in Care

Services Outside Our Scope

In the interest of patient safety and clinical appropriateness, certain services require in-person evaluation or specialized care settings. Patients with emergent or unstable conditions should seek emergency services immediately.

Emergency and life-threatening conditions

Call 911

Inpatient hospital care
Surgical and invasive procedures
Pre-participation sports physicals

WIAA requires in-person examination

Obstetric care and delivery
Pediatric care under age 12

case-by-case approval

Complex psychiatric conditions requiring stabilization
Chronic opioid pain management
Workers compensation evaluations
Now Accepting Founding Members

Begin Your Care with Medicine That Remembers

Start in Atlas to see if our approach aligns with your health goals.

Questions? Call us at +1 (425) 285-7390

All clinical decisions are made by licensed physicians practicing within their scope of licensure and applicable state and federal regulations. Sankofa Family Medicine retains sole authority over clinical judgment, treatment decisions, referrals, prescribing, and care escalation. This information does not constitute a guarantee of treatment for any specific condition. All care is subject to clinical appropriateness and the physician-patient relationship.

Founding Member Enrollment Now Open
Accepting patientsSecure portal enrollment

Medical Disclaimer: The information provided on this website is for general informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider for medical concerns. If you are experiencing a medical emergency, call 911 immediately.