Creighton Model Classes:

Each client begins with attending an informational Introductory Session about the method. The Introductory Sessions are typically held at our office with other prospective clients but may be privately scheduled or done long distance.

FOLLOW-UP SESSIONS: (1st & 2nd F/U 60-90 min each; Subsequent F/U 30-60 min)
After the Introductory Session, it is highly recommended that each client schedule a Follow-Up session to begin tracking their own individual fertility. It is during these private sessions that a client will begin to grow confident in their observations and charting. Eight sessions, which generally cover a 12-month period, are highly recommended to be able to have a good handle on how to properly use the system. Following this time, clients will have follow-ups at least every 6-12 months through menopause. Frequency of follow-ups increase with breast-feeding or other changes related to medicines or menopause.


Introductory Session, 8 F/U, start up materials (first year): $350
Introductory Session, 4 F/U, start up materials: $230
Introductory Session/couple: $40
Follow up Visit after 4th F/U: $40
Pregnancy Evaluations: $40
Breast feeding, established: up to 12 months (up to 10 f/u): $300
Breastfeeding, new: up to 12 months (up to 10 f/u): $350


Start-up Materials: chart, stamps, manual: $30
User Manual (extra copy):

Picture Dictionary (client edition): $20
Stamps, Starter Pack: $5
Individual Sheets: $0.20
Charts: $2

* Distance learners to pay for postage
* Payment plans can be arranged

NaProTechnology® Consultation:

NaProtechnology® focuses on restoring health to normal. This is helpful for teenaged girls and women of all reproductive categories for their own health and future children. Fertility awareness-based methods (FABM) of family planning such as the Creighton model (CrMS) are vital to NaProtechnology® and patients should continue to see their instructor on a timely basis. In addition, men’s health is addressed and can be helped with this process.

About The Practice:

By focusing just on NaPro consulting, Dr. Marsh will be able to see patients in a timely manner. Therefore, patients coming to her must have their own primary care provider for their general health care needs. Dr. Marsh will not prescribe controlled medicines such as pain killers or anxiety medicines. Nor will she be filling out disability forms or writing notes for emotional support animals and other primary care needs.

Medical information is kept on a HIPPA compliant electronic health record. Lab work is ordered through an outpatient lab. Please bring any previous lab, X-ray, ultrasound, and PAP reports with you.

Dr. Marsh typically spends about 20-25 minutes after the appointment working on charts and reviewing medical records. In addition, about 20-30 minutes of work is needed if a patient is being referred to a NaPro Ob/gyn including preparation of the cover letter and printing, organizing, and mailing paperwork. She also spends time with emails and monitoring lab reports.

Conception is allowed to occur naturally and can occur with even perfect use of CrMS. I have chosen to follow the norms of NaProTechnology® and the Creighton model wherein medical techniques of assisting conception are for a man and woman who are married. This is not to disrespect couples in other situations and I am happy to help them restore health. There are many opportunities at other clinics to help couples achieve pregnancy and build their family.

About Appointments:

Appointments for NaProTechnology® are generally 60-90 minutes for the initial consultation. It is best that a woman has at least 2 months of charting. A follow-up appointment is scheduled when you leave and will generally be for 45-60 minutes in about 6 weeks to 12 weeks.

Some of the consultation is via email after the patient has seen Dr. Marsh such as following some lab levels in pregnancy or short, reasonable questions.

About Payment:

Payment is by cash or check only because contracting with insurance companies is expensive and laborious. However, a superbill will be generated that will contain the proper insurance codes and that you can submit to your own insurance for your reimbursement. Payment is expected at the time of services. In cases of hardship, payment arrangements can be made. (Please note that my rates shown below are lower than rates charged by insurance.) Checks are made to: Gretchen V. Marsh, D.O.

Initial consultation of 60 minutes is $200.00
Initial consultation of 90 minutes is $300.00
Follow-up consultation of 60 minutes is $175.00
Follow-up consultation of 45 minutes is $150.00