Gondra Center for Reproductive Care & Advanced Gynecology

Available Resources

Genetic counseling: Offered
Genetic counseling
Acupuncture is not offered: Not Offered
Acupuncture
is not offered
Mental health counseling is not offered: Not Offered
Mental health counseling
is not offered
Nutrition counseling is not offered: Not Offered
Nutrition counseling
is not offered
Administration of shots: Offered
Administration of shots
Coordinating at-home nursing is not offered: Not Offered
Coordinating at-home nursing
is not offered
Selling medication: Offered
Selling medication
Providing backup medication: Offered
Providing backup medication
Phoenix
20940 North Tatum Boulevard, B-210
Phoenix, AZ 85050
480-621-6331
On a scale from 0-10, how likely are you to recommend Gondra Center for Reproductive Care & Advanced Gynecology to a friend?
Strongly recommend: 100%9.9
5 assessments
  • 100% Strongly recommend (9-10)
  • 0% Neutral (7-8)
  • 0% Don't recommend (0-6)
Operations
Poorly operated
Operated well
9.7
Operations

Ratings of 1 indicate that a clinic was poorly operated.

Ratings of 10 indicate that a clinic operated very well.

Scheduling
Difficult scheduling
Easy scheduling
10
Scheduling

Ratings of 1 mean it was difficult to schedule appointments with this clinic.

Ratings of 10 mean it was easy to schedule appointments.

Billing Department
Incompetent billing dept.
Competent billing dept.
9.7
Billing Department

Ratings of 1 indicate an unsatisfactory billing department.

Ratings of 10 indicate an excellent billing department.

Nursing Team
Poor nursing team
Excellent nursing team
10
Nursing Team

Ratings of 1 indicate an unsatisfactory nursing team.

Ratings of 10 indicate an excellent nursing team.

Attention to Detail
Low attention to detail
High attention to detail
10
Attention to Detail

Attention to detail is on a 1 - 10 scale, and is scored based on the rate, and severity, of errors committed by the clinic according to the patients.

For example, a severe error might be failing to inform a patient of critical information, while a small error might be failing to call a patient with results.

CDC Success Rates

This is the most recent data from the CDC. The CDC cautions that it should not be used to compare doctors and clinics.

For more information please see our FAQs.

Where you see a “?” on the chart, a clinic has done fewer than 20 cycles in this category and age range, so the CDC says showing percentages from this small data set would be misleading and unreliable.

Live births per fresh IVF cycle by age range
10%
20%
30%
40%
50%
60%
<35
35-37
38-40
41-42
>42
This Clinic
National Average
Annual Cycles for this Clinic
50
Annual Cycles National Avg.
635
9.9
Average Doctor Score
1 doctor
5 assessments
10
10
Age
31 - 32
Treated
2018 - 2019
Success with this Doc
No
Treatment
2 IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis, Male Factor, Recurrent Pregnancy Loss
10
10
Dr. Gondra has not only Been my gynecologist as I suffer from endometriosis, but she was my surgeon to remove my endometriosis and my IVF doctor. I felt and feel comforted knowing she has been through every step. She takes a genuine interest and concern in your well being and your goal to become a family. I can’t tell you how many times I cried happy or sad tears, but each time she comforted me and gave me the encouragement and strength to keep fighting. She calls you to talk and explain things and makes sure to sympathize with you as well. I’m grateful for all of that during this infertility struggle.
Everyone in that office [Gondra Center for Reproductive Care & Advanced Gynecology] shows compassion and true interest in your family. I’ve had a complicated case and everyone is on the same page and someone always gets back to you. Communication and care are their strengths, I don’t have any weaknesses to report. ... All the nurses have been through so much with me. I’ve hugged and cried with them all. I actually miss my time there as I have moved and we don’t have insurance coverage right now for fertility
Age
31 - 32
Treated
2018 - 2019
Success with this Doc
No
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1st of 2 Docs
Treatment
2 IVF
Diagnosis
Diminished Ovarian Reserve, Endometriosis, Male Factor, Recurrent Pregnancy Loss
10
10
How was your experience with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
Dr. Gondra has not only Been my gynecologist as I suffer from endometriosis, but she was my surgeon to remove my endometriosis and my IVF doctor. I felt and feel comforted knowing she has been through every step. She takes a genuine interest and concern in your well being and your goal to become a family. I can’t tell you how many times I cried happy or sad tears, but each time she comforted me and gave me the encouragement and strength to keep fighting. She calls you to talk and explain things and makes sure to sympathize with you as well. I’m grateful for all of that during this infertility struggle.
What's one piece of advice would you give a prospective patient of Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
She has an accent so I have learned to understand her better. I also talk fast, so I’m sure she had to learn to understand me.
During treatment, were you treated like a number or a human with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
Dr. Gondra not only has gone through endometriosis and told me her story, but she would always hug me and make me feel like this will happen for us. I shed a lot of tears in her office, but I felt comforted being there with her and her staff. I’m grateful for that connection and care.
Describe the protocols Mercedes Gondra used in your cycles at Gondra Center for Reproductive Care & Advanced Gynecology and their degree of success.
Our first cycle, I did not respond too well so we expected to not get embryos, but we got two eggs and two embryos, one fresh transfer of which became a baby girl I would carry for 7 weeks before a miscarriage. The baby was genetically tested after my miscarriage, as we have not done genetic testing on any of our embryos. Once it came back that the baby was genetically fine, Dr. Gondra wanted to run tests on me. We then transferred our second embryo from that round and that was a negative. This followed by another round of IVF with additional medications to include a growth hormone that helped produce more eggs and embryos. We did a fresh transfer again - negative, followed by two frozen transfer; both negative. Unfortunately, we moved right after our last transfer so I have two embryos at Dr. Gondras.
Describe your experience with your nurse at Gondra Center for Reproductive Care & Advanced Gynecology. (Assigned nurse: Celeste )
All the nurses have been through so much with me. I’ve hugged and cried with them all. I actually miss my time there as I have moved and we don’t have insurance coverage right now for fertility
Describe your experience with Gondra Center for Reproductive Care & Advanced Gynecology.
Dr. Gondra has a well organized clinic, very busy, but always communicative and understanding. Everyone in that office shows compassion and true interest in your family. I’ve had a complicated case and everyone is on the same page and someone always gets back to you. Communication and care are their strengths, I don’t have any weaknesses to report.
Describe the costs associated with your care under Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology.
The cost at Dr. Gondra is reasonable. She is currently running a holiday special for those who want to start a family, but the costs for fertility can be so astronomical, that they are out of reach.
Describe Mercedes Gondra's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Gondra Center for Reproductive Care & Advanced Gynecology.
We decided on our 4th transfer to put in 2 embryos, but both did not take.
10
Doctor
Mercedes Gondra
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Gondra Center for Reproductive Care & Advanced Gynecology
Phoenix
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
28 - 29
Treated
2018 - 2019
Success with this Doc
Yes
Treatment
1 IVF
Diagnosis
Male Factor, PCOS
10
10
Dr. Gondra knew me, remembered details about me and my story that we’re not a part of my chart, and was always encouraging in our time together... is direct but kind in her approach. Her attitude is positive even in the face of adversity and she seems to genuinely care about her patients beyond their affect on her success rate. She worked to ensure my treatment was the best for me and never pushed us into any tests or treatment we were uncomfortable with.
I had 60+ follicles, 44 eggs, 22 mature, 16 fertilized, 13 blastocysts [at Gondra Center for Reproductive Care]...Every nurse I worked with was kind and willing to help in any way they could. They also did AWESOME blood draws- and that is a big deal when you’re going through that many pokes!...Total Care with Maria Gondra was roughly 20,000 (including PESA sperm retrieval, IVF all freeze, FET, and all medications)...Compassion, care, and facts are the clinic’s strengths. They will be honest and up front about what can be done. The price is middle of the road for IVF from what I’ve found. It is a small clinic with only one doctor and one NP, along with the nursing staff. There are limitations with a small clinic, but I felt the personal care I was given was a worthy trade off.
Age
28 - 29
Treated
2018 - 2019
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
1 IVF
Diagnosis
Male Factor, PCOS
10
10
How was your experience with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
Dr. Gondra is direct but kind in her approach. Her attitude is positive even in the face of adversity and she seems to genuinely care about her patients beyond their affect on her success rate. She worked to ensure my treatment was the best for me and never pushed us into any tests or treatment we were uncomfortable with.
What's one piece of advice would you give a prospective patient of Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
Dr. Gondra has a thick accent that some people may not easily understand (I had no issues, but my MIL couldn’t understand her). She is direct in her presentation of facts.
During treatment, were you treated like a number or a human with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
Dr. Gondra knew me, remembered details about me and my story that we’re not a part of my chart, and was always encouraging in our time together.
Describe the protocols Mercedes Gondra used in your cycles at Gondra Center for Reproductive Care & Advanced Gynecology and their degree of success.
Our goal was as many mature eggs as possible while offsetting risk of OHSS (due to PCOS). I was put on birth control for 2 months to completely “quiet” my ovaries. Then I started on 150 units of menopur and 150 units of Follistim for 8 days. Then Menopur was cut to 75 units and while Follistim remained at 150 units for another 2 days (total of 10 days of stims). I took ganirelix to prevent ovulation for 4 days, and my trigger shot was Lupron (to avoid ohss). I had 60+ follicles, 44 eggs, 22 mature, 16 fertilized, 13 blastocysts.
Describe your experience with your nurse at Gondra Center for Reproductive Care & Advanced Gynecology. (Assigned nurse: Celeste)
Every nurse I worked with was kind and willing to help in any way they could. They also did AWESOME blood draws- and that is a big deal when you’re going through that many pokes!
Describe your experience with Gondra Center for Reproductive Care & Advanced Gynecology.
Compassion, care, and facts are the clinic’s strengths. They will be honest and up front about what can be done. The price is middle of the road for IVF from what I’ve found. It is a small clinic with only one doctor and one NP, along with the nursing staff. There are limitations with a small clinic, but I felt the personal care I was given was a worthy trade off.
Describe the costs associated with your care under Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology.
Total Care with Maria Gondra was roughly 20,000 (including PESA sperm retrieval, IVF all freeze, FET, and all medications)
Describe Mercedes Gondra's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Gondra Center for Reproductive Care & Advanced Gynecology.
Considering we had success with one embryn on our first transfer, I’m very glad we only transferred one. I did not want twins, and the risks that come with a multiple pregnancy- and we are pregnant with one healthy little boy.
10
Doctor
Mercedes Gondra
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Gondra Center for Reproductive Care & Advanced Gynecology
Phoenix
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Ask a Question

Ask this reviewer a question about their experience with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology.

Verified

This patient has provided documentation of treatment at this clinic.

10
10
Age
29
Treated
2018
Success with this Doc
?
Treatment
Fertility Medications
Diagnosis
Endometriosis
10
10
Dr. Gondra is by far the best doctor I could've ever picked. She truly understand my diagnosis because she also has endometriosis. She takes her time to listen to me and my concerns. She's very open and honest with me as well about my chances. She makes me feel really comfortable voicing my concerns and even likes hearing my thoughts about my treatment.... Dr. Gondra's first step in treatment was to give me a choice to start IUI right away or go for a surgery to increase my chances. I
From the time I scheduled my appointment, I was able to get in fast. Their patient portal is very user friendly and straight forward. You can schedule appointments online. The building the clinic [Gondra Center for Reproductive Care] is located in is very nice area and right above an outpatient center. The clinic is fairly small but well equipped. Everything is very clean and new. The lab is very nice as well.... They are the sweetest ladies.
Age
29
Treated
2018
Success with this Doc
?
Race
Income
Occupation
Order & Number of Docs Seen
1 Doc Seen
Treatment
Fertility Medications
Diagnosis
Endometriosis
10
10
How was your experience with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
Although my journey with Dr. Gondra is just starting, I feel like she already is my biggest advocate. She truly is there to help me get the baby my husband and I have always wanted. She is very caring, a great listener, compassionate about what she does, and very understanding because she went through what her patients have gone through. She's personable and a very down-to-earth person. I feel in very good hands with her. I see her every time I come into her office. I can call anytime and she's always there to answer my questions or concerns.
What's one piece of advice would you give a prospective patient of Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
I would tell a prospective patient to just go in ready to learn and listen and also to just relax. You will be in great hands. Make sure you voice your concerns and don't be afraid. She will listen to you. I promise.
During treatment, were you treated like a number or a human with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
Dr. Gondra is by far the best doctor I could've ever picked. She truly understand my diagnosis because she also has endometriosis. She takes her time to listen to me and my concerns. She's very open and honest with me as well about my chances. She makes me feel really comfortable voicing my concerns and even likes hearing my thoughts about my treatment. Her office staff is like family and they remember me every time. I don't fee like a broken record and having to repeat my history every time I have an appointment.
Describe the protocols Mercedes Gondra used in your cycles at Gondra Center for Reproductive Care & Advanced Gynecology and their degree of success.
My diagnosis is new, but I do have endometriosis and Dr. Gondra's first step in treatment was to give me a choice to start IUI right away or go for a surgery to increase my chances. I did my research and endometriosis can be very aggressive, so I picked surgery. Endometriosis runs in my family, so I want to be prepared that I will need IVF right after surgery. It makes me sad that I might not be able to afford IVF like some of my family members After my surgery in a week, i'll know more of what my options are.
Describe your experience with the nursing staff.
They are the sweetest ladies. I have met the NP, all of the nurses, front desk coordinators, and embryologist. They are all a very close team and have known Dr. Gondra for a very long time. They talk to me like i'm a part of their family. I truly feel cared about.
Describe your experience with Gondra Center for Reproductive Care & Advanced Gynecology.
I haven't been there very long, but everything so far is top notch as far as I can tell. The lab is nice and the equipment is state of the art. From the time I scheduled my appointment, I was able to get in fast. Their patient portal is very user friendly and straight forward. You can schedule appointments online. The building the clinic is located in is very nice area and right above an outpatient center. The clinic is fairly small but well equipped. Everything is very clean and new. The lab is very nice as well.
Describe the costs associated with your care under Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology.
Everything so far has been covered by my insurance. She accepts most insurance in coverage is available under your policy. And they work with you on payments for out of pocket expenses. Very accommodating when it comes to finances.
10
Doctor
Mercedes Gondra
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Gondra Center for Reproductive Care & Advanced Gynecology
Phoenix
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Ask a Question

Ask this reviewer a question about their experience with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology.

Verified

This patient has provided documentation of treatment at this clinic.

9
9
Age
35 - 36
Treated
2016 - 2017
Success with this Doc
No
Treatment
3 IUI
Diagnosis
Endometriosis, Unexplained
9
9
She [Dr. Mercedes Gondra] really seems to care and her approach is candid but compassionate. She speaks quickly and has an accent and it might a little challenging for someone who is new to the infertility process to follow. Fortunately, all of the notes are available in an online portal for review...Used Femara for IUI cycles to avoid any further thinning of endometrial lining that Clomid may cause. Next step scheduled to be IVF. The plan is for a mock cycle with ERA testing and frozen embryo transfer once a sufficient lining is obtained.
My IUI's [at Gondra Center for Reproductive Care & Advanced Gynecology] were roughly $800-900 out of pocket and the Femara was around $20...Dr. Gondra is the only physician there; no portion of the care is provided by a nurse practitioner or other mid-level provider. The clinic is still new, so there may not be many reviews. However, Dr. Gondra is not new to the area or to RE...I had unexplained infertility but was over 35. Used Femara for IUI cycles to avoid any further thinning of endometrial lining that Clomid may cause.
Age
35 - 36
Treated
2016 - 2017
Success with this Doc
No
Race
Black or African-American
Income
$200K - $499K
Occupation
Doctor
Order & Number of Docs Seen
1st of 2 Docs
Treatment
3 IUI
Diagnosis
Endometriosis, Unexplained
9
9
How was your experience with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
I trust Dr. Gondra and have referred other people to her (don't know their outcomes). She really seems to care and her approach is candid but compassionate. She speaks quickly and has an accent and it might a little challenging for someone who is new to the infertility process to follow. Fortunately, all of the notes are available in an online portal for review.
What's one piece of advice would you give a prospective patient of Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
Take notes during your visit and review them with her before you leave.
During treatment, were you treated like a number or a human with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
Dr. Gondra has hand-selected her office staff to be friendly people who work well together. I was always greeted by name as soon as I walked through the door and they remembered details about my life.
Describe the protocols Mercedes Gondra used in your cycles at Gondra Center for Reproductive Care & Advanced Gynecology and their degree of success.
I had unexplained infertility but was over 35. Used Femara for IUI cycles to avoid any further thinning of endometrial lining that Clomid may cause. Next step scheduled to be IVF. The plan is for a mock cycle with ERA testing and frozen embryo transfer once a sufficient lining is obtained.
Describe your experience with Gondra Center for Reproductive Care & Advanced Gynecology.
Dr. Gondra is the only physician there; no portion of the care is provided by a nurse practitioner or other mid-level provider. The clinic is still new, so there may not be many reviews. However, Dr. Gondra is not new to the area or to REI; she previously worked at Troche Fertility Centers and it is possible that further information may be found there.
Describe the costs associated with your care under Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology.
My insurance covered infertility testing but not treatment. So my lab testing, baseline ultrasound, HSG, and husband's semen analysis were nominal. My IUI's were roughly $800-900 out of pocket and the Femara was around $20.
9
Doctor
Mercedes Gondra
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
9
Clinic
Gondra Center for Reproductive Care & Advanced Gynecology
Phoenix
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
10
10
Age
34
Treated
2015
Success with this Doc
Yes
Treatment
2 IUI, 3 IVF
Diagnosis
Endometriosis, Other
10
10
She [Dr. Gondra] is very knowledgeable and in my opinion the best option for treatment if you have endometriosis is Phoenix. She gives everyone individualized care and I truly feels she is invested in your success. Even after I had my she continued to check on our well being. I still see her for endometriosis related issues since she sees people for advanced gyno issues too.... She always made me feel like I was her only patient. She truly empathizes with you and wants you to have your baby.
My doctor started her own clinic [Gondra Center] so its hard to review ivf treatment there. Many of her staff including the NP and embryologist moved with here so I'm sure they are doing a great job. I see my doctor for endometriosis and the front desk can always get me an appointment quickly. The new clinic doesn't book too many people at one time so you don't wait or feel rushed. They give each patient enough time to address all issues.
Age
34
Treated
2015
Success with this Doc
Yes
Race
European
Income
$100K - $199K
Occupation
Operations
Order & Number of Docs Seen
1 Doc Seen
Treatment
2 IUI, 3 IVF
Diagnosis
Endometriosis, Other
10
10
How was your experience with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
She is very knowledgeable and in my opinion the best option for treatment if you have endometriosis is Phoenix. She gives everyone individualized care and I truly feels she is invested in your success. Even after I had my she continued to check on our well being. I still see her for endometriosis related issues since she sees people for advanced gyno issues too.
What's one piece of advice would you give a prospective patient of Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
If you need surgery for endometriosis she is your best bet. She focuses on fertility preserving surgery. She removed a 10cm cyst from my ovary. Most docs couldn't do this.
During treatment, were you treated like a number or a human with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology?
She always made me feel like I was her only patient. She truly empathizes with you and wants you to have your baby.
Describe the protocols Mercedes Gondra used in your cycles at Gondra Center for Reproductive Care & Advanced Gynecology and their degree of success.
First was surgery to removes stage 4 endometriosis and 10 cm cyst from my ovary. IVF #1 antagonist protocol with no bcp lead in b/c I'm a clot risk and used lovenox. 300 follistim, 150 menopur. 4 of 8 mature, 3 fertilized, 2 day 3 ET of grade A. Chemical pregnancy. Surgery to remove 3 cm from good ovary before ivf #2 IVF #2 reduced menopur to 75iu and increased follistim to 375 and lead in with bcp/lovenox to help me not have lead follicles like ivf #1. This cycle was bad. 10 eggs but only 1 mature. Transfer grade c embryo on day 3. bfn. IVF # lead in w/ bcp/lovenox. Stimmed with 375 iu menopur, .25 hgh and 125 follistim. 8 eggs, 7 mature, 6 fertilized and two made it to day 5. ETed 2 early grade B blast and had a live birth in April 2016. Took a while but we found the protocol that worked for me. Lots and lots of menopur!
Describe your experience with your nurse at Gondra Center for Reproductive Care & Advanced Gynecology. (Assigned nurse: Kori)
My doctor has since left the clinic I received treatment but many of the team members went to her new clinic. My ivf coordinator Kori was awesome. She helped me get drug discounts and donated drugs. Two of the my nurses went to my doctor's new clinic. They are very knowledgeable and I go to the NP for well women.
Describe your experience with Gondra Center for Reproductive Care & Advanced Gynecology.
My doctor started her own clinic so its hard to review ivf treatment there. Many of her staff including the NP and embryologist moved with here so I'm sure they are doing a great job. I see my doctor for endometriosis and the front desk can always get me an appointment quickly. The new clinic doesn't book too many people at one time so you don't wait or feel rushed. They give each patient enough time to address all issues.
Describe the costs associated with your care under Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology.
10000 for ivf 1000 for iui
Describe Mercedes Gondra's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Gondra Center for Reproductive Care & Advanced Gynecology.
Based on my situation 2 was recommended.
10
Doctor
Mercedes Gondra
Communication
Trustworthiness
Compassion
Explained risks
Adaptability
Frequency seen during appointments
10
Clinic
Gondra Center for Reproductive Care & Advanced Gynecology
Phoenix
Nursing
Operations
Scheduling
Billing
Clinic Atmosphere
Educational Resources
+ Read more- Read less
Ask a Question

Ask this reviewer a question about their experience with Mercedes Gondra at Gondra Center for Reproductive Care & Advanced Gynecology.

Verified

This patient has provided documentation of treatment at this clinic.