Thank you for your interest in becoming a patient at the Kharrazian Clinic.

Please read all the information below before deciding to apply.

Dr. Kharrazian’s clinical practice is limited to a very small number of patients. It takes tremendous time and energy for any healthcare provider to manage a complicated case. The patients who typically do well working with Dr. Kharrazian are highly motivated and dedicated to evaluating their case with great depth. Successful management of such cases requires appropriate testing, diagnosis, financial commitment, and realistic clinical expectations.

Due to Dr. Kharrazian’s limited schedule and a growing demand to train healthcare professionals, he only selects new patients who are willing to share their case as an academic clinical case study for the Kharrazian Institute.

The Kharrazian Institute’s focus is to teach clinical practice models to healthcare professionals who are interested in a nutrition, diet, and lifestyle approach to help improve the lives of patients suffering from chronic conditions.

For each case study, the following information may be used in a variety of Kharrazian Institute programs to educate healthcare practitioners:

1. The new patient intake exam notes, health history, and past medical records are formatted into an educational document.*

2. The new patient intake exam is professionally videotaped.**

3. Follow-up appointments (in person or video teleconference) are videotaped.**

4. Periodic written information such as:

  • Dr. Kharrazian’s notes from followup appointments*
  • Medical testing results*
  • Update questionnaires*
  • Written symptom updates from the patient*

5. On occasion, Dr. Kharrazian conducts a videotaped teleconference interview with a patient to discuss case progression.**


* All written information is redacted for privacy. The patient’s last name and any doctor names will be redacted, however the patient’s first name will remain visible, with no exceptions.

** Portions of video from the new patient exam, follow-up appointments, and periodic update interviews will be used in one or more of the Kharrazian Institute programs. In the videos, the patient’s face will be visible and their first name will be used, with no exceptions. No last name will be used in the videos.


Dr. Kharrazian has a private practice near San Diego, California. To become a patient under his care, you must undertake the two-step process outlined below.


Dr. Kharrazian has a limited clinical practice and is under high demand internationally. In response to the large number of patients requesting consultations, he developed the case review process to determine whether he is the right person to support your health care goals. This helps you avoid unnecessary travel time and expenses, and enables him to focus on the patients who are most in need of his expertise.

To be scheduled for the case review, you must complete a comprehensive application that includes several health questionnaire forms, a detailed medical history, and your recent laboratory results. The application takes most patients days to weeks to complete.

Your application is then reviewed to ensure it has the depth of information necessary for Dr. Kharrazian’s review of your case. Due to the limited number of openings available, only once an application is approved can we schedule the case review consult; the appointment typically occurs within 1 to 3 months.

The case review consult is a 30-minute appointment conducted by video teleconference. In preparation for the appointment, Dr. Kharrazian will review your application in detail and prepare comprehensive notes.

The case review serves several purposes:

  • It allows Dr. Kharrazian to interpret your health history and lab results to provide his expert opinion on his first impressions about your case.
  • It gives you an opportunity to meet him and ask questions about becoming his patient.
  • It determines whether he is your best choice as a healthcare provider.

The case review is not a guarantee of becoming a patient at the clinic. During the consult, you and Dr. Kharrazian will discuss your case and decide if he is your best choice as a healthcare provider. If so, the next step is to schedule the new patient exam. After the case review it can take between 1 and 4 months to see Dr. Kharrazian for the exam, depending on his schedule and your availability for travel and time off work.

Treatment recommendations are not discussed at the case review consult. Only after the new patient exam is Dr. Kharrazian able to create your customized treatment protocols.

Due to the time-intensive process of reviewing a patient’s extensive application materials, preparing for, and conducting the case review, the flat fee is $750.


Dr. Kharrazian considers the new patient exam the point at which the formal practitioner-patient relationship begins.

Please note: Dr. Kharrazian requires that all new patients come to his clinic near San Diego, California for the new patient exam.

The exam is a comprehensive evaluation that requires 3 to 4 hours of your time in the clinic.

After the exam, he may refer you to local medical offices or labs for medical tests. For domestic patients, many tests can be done once you return home. We suggest that international patients schedule a few extra days in the area to take advantage of specialty testing accessible only in the U.S.

In addition to the half-day exam, Dr. Kharrazian will also spend approximately 6 to 10 hours before and after the appointment to review your health history and past labs, compile the new patient exam findings, assess any new lab results, and develop a customized treatment plan. The flat fee for the exam is $3,000.


For the purposes of the Kharrazian Institute case studies and to assure you are well on your way with your treatment protocols, Dr. Kharrazian will expect you to schedule regular monthly follow-ups until it is determined that you are ready to see him at a longer interval.

Follow-up appointments are scheduled for video teleconference, phone, or in-office, depending on your location and needs. The appointments are 40 minutes at a cost of $375 U.S. (and rarely, 60 minutes at $500). New patients typically need between three and six follow-up appointments in the first year.

In addition to his work as a clinician, Dr. Kharrazian has a busy teaching, research, and writing calendar. He has a limited clinical schedule, therefore patients may need to be flexible with scheduling.

Lab tests could run between $1,000 to $3,000 during the course of the first year. Please note: We do not provide insurance codes or insurance-related receipts for any testing that is arranged and billed through our office.

Nutritional supplement costs could run between $1,000 to $3,000 during the course of the first year. The clinic does not sell supplements, but Dr. Kharrazian will make recommendations for where you can find them.

Case management and costs are different for each patient depending on their unique needs. The overall costs for the first year of his care usually run between $5,000 to $10,000. The next year is less expensive since less effort is required to evaluate and manage your progress.


The Kharrazian Clinic does not take any form of health insurance, and does not provide insurance codes, superbills, special letters, or any other special invoices or receipts for insurance purposes. All our services are self-pay via credit card at time of service.


Dr. Kharrazian has limited space to add new patients each year; the applications he accepts will be determined by the cases necessary to educate other healthcare providers at the Kharrazian Institute. We are sorry that we cannot add every new patient who inquires.

Your first step is to fill out our screening questionnaire (button below). After we have reviewed your information, we will reach out to let you know if we can proceed with the application.

The Kharrazian Institute Practitioner Locator is available to help patients locate licensed health care professionals with post-graduate training from the Kharrazian Institute.