Mental Health
Does Wellbutrin Help with Anxiety? What You Need to Know Before Starting Online Treatment
Understand how bupropion differs from other antidepressants and what to discuss with your provider when anxiety is a concern.
Read Article →Rochester
New York · Video visits statewide
Explore your local area, then find the care you need.
Book a Visit
Use the zoom buttons or drag to explore. Press Escape or Close map to return to the preview.
Care that fits your life
Telehealth care in Rochester, New York.
Wade’s Care First sees Rochester patients by secure video for primary care, mental health, ADHD, weight management, urgent care and more. Labs, imaging and prescriptions go to facilities in and around Rochester.
Telehealth only. No office in Rochester: you join from wherever you are in New York. Pricing · Insurance Accepted
Services
What Rochester patients book.
Every service is available statewide by video. Each page explains what can and cannot be handled remotely.
Your ongoing Primary Care ProviderPrimary Care
Acute Care, Routine Care, Preventive Care, and Chronic Care with one provider who knows your history.
Screenings for your age and riskPreventive Care
Screenings, labs and risk checks chosen for your age, history and family history.
Evaluation and treatmentMental Health
Anxiety, depression, panic, PTSD symptoms and more. A full evaluation first, then a plan you help build.
Adults and teensADHD
Evaluation and follow-up for attention, focus and executive-function concerns.
Medication with a plan around itMedical Weight Management
A workup first, then nutrition, lab monitoring and medication when it fits.
Sick visitsUrgent Care
Sinus infections, UTIs, rashes and stomach bugs. Check the scheduler for available appointments, including same-day openings when offered.
Skin concerns by videoDermatology
Acne, eczema, psoriasis, melasma, fungal nails and rashes, evaluated from clear photos and a conversation.
Strains, sprains and flare-upsShort-Term Pain Management
Back and neck pain, sprains, joint flares and headaches over a short course of care.
Hormones, prostate and screeningMen’s Health
ED, testosterone testing, prostate health, PSA and the screenings men tend to skip.
Every stageWomen’s Health
Periods, birth control, perimenopause, menopause and the questions in between.
Ages 5 and upPediatric Care
Video visits for the things that keep a kid home from school.
Older adults and their familiesGeriatric Care
Medication review, chronic conditions and coordination with everyone involved.
Part of your primary careSleep Concerns
Insomnia, snoring, sleep apnea screening and sleep-study coordination.
Pharmacogenomic testingGeneSight® Testing
A cheek swab that adds genetic information to mental-health medication decisions.
Booking & Insurance
Plan your video visit.
Start with the care you need. We’ll guide you through the visit details and available times.
Choose your visit
Select your service and whether you are a new or established patient.
Choose how to pay
Select insurance or self-pay. Review the accepted plans and posted prices before continuing.
Find an available time
Confirm where you will be during the visit and your timezone, then review your appointment details.
More Than a Video Visit
How It Works Your care doesn’t end when the video visit ends.
Wade’s Care First is a full medical practice delivered through telehealth. When it is medically appropriate, we order, prescribe, refer and coordinate the services you would expect from a traditional outpatient practice.
- 1VisitSecure video from your phone or laptop
- 2TestingLabs and imaging ordered near you
- 3ResultsReviewed and explained with you
- 4TreatmentPrescriptions and a plan you helped build
- 5ReferralSpecialists and in-person care when needed
- 6Follow-upContinued care with the same provider
Laboratory testing
Blood work, urine tests, hormone and PSA testing, completed at a lab near you.
Diagnostic imaging
X-rays, ultrasounds, CT scans and MRIs ordered through local imaging centers.
Additional testing
Testing matched to your symptoms, history and plan, including sleep studies when indicated.
Equipment and supplies
Orders for durable medical equipment and supplies when medically necessary.
Specialist referrals
Referrals to cardiology, endocrinology, sleep medicine and more, with your care kept connected.
Prescription management
Prescribing and adjusting medications when clinically appropriate and allowed by law.
Results and follow-up
Every result reviewed with you, explained, and turned into a next step.
GeneSight® Testing
Pharmacogenomic information that may help inform mental-health medication decisions.
Care coordination
Orders and referrals sent to facilities near you, with Wade’s Care First staying involved.
Telehealth when appropriate. In-person services when needed. Coordinated care throughout.
Book a VisitHow It WorksOrders go local
Labs, imaging and pharmacies near Rochester.
Call ahead to confirm a hospital-system lab will accept an outside order. For imaging, Rochester Regional Health’s imaging centers take X-ray referrals without an appointment and schedule CT, MRI, ultrasound and mammography, and UR Medicine Imaging runs outpatient sites as well. Prescriptions go electronically to the pharmacy you name: a Wegmans or Tops pharmacy, Walgreens, CVS or an independent. Rite Aid closed its New York stores in 2025, so update your pharmacy if you used one.
Blood work
UR Medicine Labs and Rochester Regional Health laboratories serve their systems’ patients (Rochester Regional lists laboratory service centers in its locations finder).
Imaging
Rochester Regional Health imaging centers (X-ray referrals need no appointment; CT, MRI, ultrasound, mammography, nuclear medicine, PET) and UR Medicine Imaging outpatient sites.
Pharmacies
Wegmans and Tops supermarket pharmacies, Walgreens, CVS, independents; Rite Aid closed all New York stores in 2025.
Before you go, confirm the requested test, outside-order acceptance, insurance, collection fees and hours with the facility. These resources are examples, not a complete directory. Quest Location Finder · Labcorp Location Finder.
Patient Questions
All Patient Questions Rochester questions.
Does Wade’s Care First have an office in Rochester?
No. Wade’s Care First is a telehealth practice. You join your visit by secure video from home, work or anywhere in New York, and Charles Wade, FNP-BC is licensed to treat you while you are in the state. Anything that needs hands-on care is coordinated with facilities in and around Rochester, such as Strong Memorial Hospital (UR Medicine; New York State-designated Level 1 Regional Trauma Center; Gannett Emergency Department for adults and children), Highland Hospital (UR Medicine; 26-bed emergency department with fast-track unit), Rochester General Hospital (Rochester Regional Health; 1425 Portland Avenue; B. Thomas Golisano Emergency Center) and Unity Hospital (Rochester Regional Health; Greece).
Where will I go for blood work if I live in Rochester?
UR Medicine Labs and Rochester Regional Health laboratories serve their systems’ patients (Rochester Regional lists laboratory service centers in its locations finder). We send the order electronically to a location that is convenient for you or in your insurance network. Results come back to us for review with you.
Which Rochester hospitals have an emergency department?
Strong Memorial Hospital (UR Medicine; New York State-designated Level 1 Regional Trauma Center; Gannett Emergency Department for adults and children), Highland Hospital (UR Medicine; 26-bed emergency department with fast-track unit), Rochester General Hospital (Rochester Regional Health; 1425 Portland Avenue; B. Thomas Golisano Emergency Center) and Unity Hospital (Rochester Regional Health; Greece). For chest pain, trouble breathing, stroke symptoms, severe bleeding, a major injury or thoughts of harming yourself, call 911 or go to the nearest emergency department rather than booking a video visit.
Are there community health centers in Rochester for in-person care?
Anthony L. Jordan Health Center / Jordan Health (82 Holland Street; Brown Square, Woodward and other sites; one of the nation’s first FQHCs) and Trillium Health serve the area with in-person primary care on a sliding scale. Many patients pair that kind of local clinic with telehealth for follow-ups, medication management and specialist coordination.
Can I use New York Medicaid or other insurance for a telehealth visit from Rochester?
Many plans are accepted and benefits are verified before your visit. BCBS / Anthem PPO, UnitedHealthcare PPO, UMR (PPO), Aetna PPO, Cigna PPO, Humana PPO, Ambetter PPO, Fidelis Care / Ambetter (NY Marketplace), TRICARE. New York Medicaid is delivered mainly through mainstream Medicaid Managed Care plans (HARP and Child Health Plus enrollment is reported within those plans); 2,518,926 New York City residents and 5.6 million+ statewide were in mainstream plans in December 2025. The Essential Plan (New York’s Basic Health Program) covers adults under 200% of the federal poverty level with no monthly premium; a 2024 waiver that had extended it to 250% FPL ended July 1, 2026 after federal funding cuts, ending Essential Plan eligibility for the affected income group; those members may qualify for Qualified Health Plans with financial assistance. Free enrollment help: NY State of Health, 1-855-355-5777. Statewide Medicaid managed care plans reported by NYSDOH (2024 eQARR profiles, enrollment order): Fidelis Care, Healthfirst, MetroPlus Health Plan, Anthem BlueCross BlueShield HP, UnitedHealthcare Community Plan, Molina Healthcare of New York, Excellus BlueCross BlueShield, MVP Health Care, HIP/EmblemHealth, CDPHP, Independent Health, Highmark Western and Northeastern New York; HIV Special Needs Plans: Amida Care, MetroPlus SNP, SelectHealth from VNS Health. County availability varies: NYC (Fidelis, Healthfirst, MetroPlus, Anthem, UnitedHealthcare, Molina, HIP, Amida Care, VNS); Erie (Fidelis, Independent Health, Highmark, Molina, UnitedHealthcare, Excellus); Monroe (Excellus, MVP, Fidelis, UnitedHealthcare, Molina); Onondaga (Fidelis, Molina, UnitedHealthcare, Excellus); Albany (CDPHP, Fidelis, MVP, UnitedHealthcare); Nassau (Healthfirst, Fidelis, Anthem, HIP, UnitedHealthcare, Molina); St. Lawrence (Fidelis, UnitedHealthcare, MVP). December 2025 NYSDOH enrollment report. Coverage varies by plan, and self-pay pricing is posted if your plan is not accepted.
Is Rochester a health professional shortage area?
Primary Care: ME, Northside Rochester (17), ME, Southside Rochester (14), Medicaid-eligible population HPSAs. Mental Health: ME, City of Rochester (19). Plus FQHC and look-alike designations. Telehealth can complement local clinicians by offering another way to access primary care, mental health and medication follow-up while you keep your local relationships.
Can orders be sent to a laboratory or imaging facility near me?
When clinically appropriate, we can send orders to a laboratory or imaging facility you choose. Confirm that the location performs the requested test, accepts the order and participates in your insurance network. Availability and travel distance vary by community.
More answers
Questions Rochester patients ask about mental health, ADHD and medical weight management.
- How can I tell whether worry has become an anxiety disorder?
- What is the difference between a panic attack and generalized anxiety?
- Can ADHD first become apparent in adulthood?
- What is executive dysfunction?
- What is medical weight management?
- Am I a candidate for medical weight loss?
All Mental Health Questions All ADHD Questions All Medical Weight Management Questions
Good to know
Services, screening recommendations, testing, treatment options, referrals and prescribing may vary with your age, medical history, symptoms, where you are physically located at the time of the visit, state and federal requirements, insurance requirements, and whether your condition can be safely managed by telehealth. Conditions and services listed here are examples. An appointment does not guarantee a particular diagnosis, a prescription, a controlled medication, hormone therapy, a lab order, an imaging study, a sleep study, a specialist referral, an accommodation letter or a particular treatment. Treatment decisions follow a clinical evaluation and the provider’s judgment.
Sources
Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
Patient Education
Browse All Patient EducationHealth topics for Rochester patients.
Articles on the care people in Rochester book most, each linked to its service and booking.
ADHD
Can People with ADHD Be Perfectionists?
Explore how perfectionism and ADHD can overlap and why understanding the pattern may help you seek appropriate support.
Read Article →
Medical Weight Management
Why Am I Gaining Weight Even Though I’m Eating Healthy?
Explore how sleep, stress, medications, portions, and other factors can affect weight even when you eat nutritious foods.
Read Article →
Mental Health
Why Do Antidepressants Cause Weight Gain?
Learn why weight changes can occur during antidepressant treatment and how to discuss concerns without stopping medication on your own.
Read Article →
A local landmark
George Eastman Museum
The historic George Eastman residence, now part of the George Eastman Museum, in Rochester, New York.
Photo: Library of Congress, Prints & Photographs Division, photograph by Carol M. Highsmith (LC-DIG-highsm-52734) · Source · Public domain; no known restrictions on publication. Resized for display.
Metro area · Monroe County (city of Rochester; Finger Lakes region)
Getting care in Rochester
Lake Ontario city anchored by two large health systems, UR Medicine and Rochester Regional Health, with city neighborhoods designated as Medicaid-eligible shortage areas and winters that regularly bring 70 to 90 inches of snow.
Rochester has two large health systems, but if you live on the city’s north or south side, federal data still classifies your neighborhood as a shortage area for Medicaid-eligible primary care, and the whole city is designated short on mental health clinicians. Add a winter that drops 70 to 90 inches of snow and a 15-minute drive to Strong or Rochester General can become an hour.
A video visit with Charles Wade, FNP-BC, covers primary care, mental health and ADHD, weight management, urgent concerns, dermatology, men’s and women’s health, children five and older, and geriatric and sleep concerns. Orders are sent to a Rochester-area lab, imaging center or pharmacy you choose. You must be in New York during the visit.
Access in Monroe County (city of Rochester; Finger Lakes region)
HRSA designates Northside Rochester (primary care score 17) and Southside Rochester (score 14) as Medicaid-eligible primary care HPSAs and the City of Rochester as a mental health HPSA (score 19). Medicaid enrollment was about 31.4% of Monroe County residents in 2015-16. Winter: Rochester recorded 88.6 inches of snow in 2024-25 and a record 161.7 inches in 1959-60 (NWS, unofficial table).
Who this helps most in Rochester
Telehealth suits Rochester residents who want reliable follow-up for depression, anxiety, ADHD, blood pressure, diabetes or weight without driving in lake-effect snow, as well as older adults in the suburbs who no longer drive at night and parents of school-age children. It is also useful for a quick look at a rash or a medication question. It is not for emergencies: chest pain, stroke symptoms, severe breathing trouble, serious injury or a mental health crisis require 911 or the nearest ED at Strong Memorial, Rochester General, Highland or Unity. Hands-on exams, procedures and vaccines need an in-person clinic, and Jordan Health offers sliding-fee care in the city if cost is a barrier.
Local health considerations
- Mental Health shortage: HRSA lists a mental health shortage designation for Rochester’s Medicaid-eligible population (ME-City of Rochester; score 19). Source: HRSA HPSA data download.
- Winter isolation: seasonal snowfall of 50 to 92 inches over the last six winters, with a record 161.7 inches. Source: NWS Buffalo Rochester snowfall table.
- Age-friendly care: Strong and Highland hospitals hold the highest level of Age-Friendly Health System certification, reflecting an older patient base. Source: urmc.rochester.edu/strong-memorial.
Not ready yet?
Ask a Question first.
Not sure telehealth fits, whether your plan is accepted or which visit to book? Ask. A real person from the practice gets back to you.
Check appointment availability
Book a visit from Rochester today.
Arizona, Florida, Illinois, Indiana, Kentucky, Michigan, Nevada and New York, with Texas in licensing.
Book a VisitAsk a QuestionText UsIf this is an emergency, call 911. For mental health crisis support, call or text 988 anytime.