General FAQs

Who is eligible to book an appointment?

Our clinic serves all residents of Ontario. 

We do not replace your family doctor. We are here to especially help those who may not have quick access to their family doctor after hours or who may not have a family doctor.

What is the cost of your services?

All services are FREE and covered by OHIP for those with a valid Ontario heath card. There is no additional cost for our services.

Virtual services started being funded by OHIP in March 2020. If OHIP funding for virtual care changes, we will inform our patients. Make sure you advocate for virtual care by contacting your Member of Provincial Parliament. 

Can I get a same-day appointment?

We offer pre-booked appointments. Check our schedule to book today and if no times suit you, please send us an e-mail and we will try to find another time to see you sooner.

What do I do if I have an urgent medical concern for myself or my child?

Do not hesitate to call 911 and to visit your local emergency room.

Can you refill all of my prescriptions?

Generally, the best person to refill prescriptions is the original prescriber. Please see your family doctor for refills or visit an in-person or virtual walk-in clinic who can address your concerns quickly.

Will you be my family doctor?

Your family doctor needs to be able to see you in person to provide comprehensive care. We are only able to provide occasional virtual visits at this time to complement your family doctor but not replace him or her.

Why can't I book an appointment online?

Dr. Kafie is going on maternity leave in January 2022. She is fully booked until her maternity leave. Dr. Puthuparampil will be teaching the Marquette Method starting in January. Please add yourself to our waitlist and we will contact you if there is a cancellation. General virtual medical appointments will not be available during Dr. Kafie's leave.

When is Dr. Kafie coming back from maternity leave?

An announcement will be made on our website/Instagram/Facebook page when Dr. Kafie returns from maternity leave.

Marquette Method Natural Family Planning

What is the cost of using the Marquette Method?

The cost of using this method is quite affordable when compared to forms of hormonal contraception. The largest cost is the initial cost of purchasing a fertility monitor (approximately $225 CAD). Test strips are purchased every 3-4 months (around $45CAD for a box of 30). Generally, 10-15 tests strips are needed per cycle for women who have cycles between 26-35 days.

Therefore, the monthly ongoing cost is about $15-22 CAD/month. 

There is no cost for instruction/counselling in the Marquette Method for Ontario residents who have a valid Ontario Health Card and book through Totally Yours Family Medicine. 

Is this just the "rhythm method" that my high school gym teacher told me was ineffective?

This is not the rhythm method! The Marquette Method of natural family planning is safe and effective with many benefits for couples. The method uses hormone levels in urine to accurately identify a woman's fertile window.

The Marquette Method has been studied by researchers at Marquette University and has been found to be 98-100% effective for preventing pregnancy with perfect use. 

What is the effectiveness of the Marquette Method?

This method is as effective as some methods of contraception when directions and protocols are followed. Studies have found the Marquette Method to be 98-100% effective for avoiding pregnancy when directions are followed (with perfect use).

What supplies do I need to practice the Marquette Method?

The Marquette Method is flexible. You can choose any combination of fertility indicators. The method is most effective when used with a fertility monitor to measure levels of estrogen and LH in the urine. A fertility monitor and test strips are needed for optimal effectiveness (information on which ones will be provided during an appointment). 

Some women choose to only use biological indicators such as cervical mucous and basal body temperatures, in which case a thermometer would be required. Although it is harder to identify the fertile window with these indicators alone, they provide valuable insight into peak fertility.

Why should I choose the Marquette Method instead of another method of NFP or just a fertility app?

Many methods of Natural Family Planning are based on subjective readings of biological signs that can be variable and difficult to interpret. This can be frustrating for couples and result in prolonged periods of abstinence.
The Marquette Method uses a fertility monitor to take the “guesswork” out of Natural Family Planning. Couples are told if hormone levels are low, high or peak fertility and can choose to avoid or achieve pregnancy by charting and following researched Marquette protocols. Objective readings make the method very appealing to couples especially in periods of transition such as while breastfeeding or during perimenopause. 

What is an instructor-in-training in the Marquette Method?

An instructor-in-training has completed all of the course work required to teach the Marquette Method to women and couples. They must teach a certain number of couples and follow-up with them in order to obtain official teacher certification. The instructor-in-training also has a supervisor who reviews his or her work.

I want to get off the pill. Is the Marquette Method for me?

Schedule a quick consultation with us (Teach me about NFP on our booking page) and we would be happy to review your circumstances and discuss the Marquette Method with you. We are able to help women who wish to choose Natural Family Planning instead of hormonal contraceptives.

Do I need to buy supplies before learning the Marquette Method?

No. We can discuss which supplies are recommended during your appointment. Don't worry about buying anything before then. If you are wondering if the Marquette Method is for you, book a "Teach me NFP!" session to discuss your individual circumstances.