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Please note we are seeing patients during this time of COVID-19 pandemic. However, we are offering visits remotely for safety of patients as well as staff and may consider in person if circumstances necessitate it and require prior approval to verify necessity.  New patient evaluations are performed remotely due to extended duration of time required and fully able to evaluate via interactive video.  Follow up cares are also most of the time able to be completed remotely, outside of the office, to meet needs.

Dedicated to caring for Ehlers Danlos Syndrome, Mast Cell Activation Syndrome, and Postural Orthostatic Tachycardia Syndrome

We care for and about the most complex patient needs and conditions.


We perform new patient consultations and evaluations for EDS, MCAS, POTS, and associated conditions. 

We also provide comprehensive, long term cares for these conditions.

We provide cares remotely via telemedicine (over the phone, email / patient portal, video chat) and also able to do cares in person when needed.

We likewise complete all necessary forms or letters to help in the coordination of cares for our patients as relate to the cares provided.

If you have any questions, please feel free to ask.

If you would like to file a claim for reimbursement from your private insurance for Complex Cares LLC (Dr. Shanda Dorff, MD, FAAFP) out of network services, you may click on the Use Your Insurance button at the top or bottom of the page where can process through Reimbursify (3rd party insurance claims filing organization).

This does not apply to Medicare or Medicaid (medical assistance).


Please note, however, the patient remains responsible for covering cost of services provided by Dr. Dorff, and Reimbursify is strictly to help the patient get reimbursement by insurance when able. The insurance pays the patient back since the patient already paid Complex Cares LLC.

Frequently Asked Questions
  • Do you take insurance? 

    • We are out of network for all insurance carriers.  However, patients may get prior authorization(s) from insurance for cares that are unable to be received within their network(s) or reimbursed afterward at the rate the insurance carrier reimburses for out of network cares (often vary from 1 plan to the next and may vary from 1 year to the next within the same plan).

    • Effective April 1, 2022, Dr. Dorff is opted out of Medicare though is able to place orders for patients with Medicare to have the charges for those orders (labs, medications, imaging, etc) sent to Medicare.  Federal law requires a Medicare beneficiary to enter into a private direct pay contract where the patient pays the clinic directly with neither the clinic nor the patient submitting those charges to Medicare for services provided by Dr. Dorff.

  • How much does it cost?

    • It varies depending on if a new evaluation or follow up.

      • New patients have a one time nonrefundable scheduling fee that reserves the entire afternoon for the appointment and covers administrative costs in advance of the visit. The new patient visit (typically 3-4 hours though may take longer) are a flat rate fee regardless of how long it takes or any other factors.  

      • Established patients are strictly billed based on the amount of time where there is a free 5 minutes per week (use it or lose it) for all clinical needs then billed per minute.

    • Also, for established patients, it varies depending on the amount of time and only based on amount of time needed to complete all the cares, which includes documentation, forms, etc.
  • What types of payment do you accept?

    • Cash, Check, Credit Card (all types, such as Visa, Mastercard, Discover, American Express, etc), Visa Gift Cards, HSA card, FSA card, and PayPal.  There are no refunds for services already completed (However, as stated above, patients may get reimbursed from private insurance. It is recommended check with insurance in advance if interested in reimbursement).

    • Privacy policy -- payments, just as medical / health information, all information is strictly confidential.

About Complex Cares LLC

Dr. Shanda R. Dorff, MD, FAAFP began working with connective tissue diseases professionally in 2008 when she found herself unable and unwilling to stop learning. The more she learned, the more she wanted to know and developed a passion for the subject matter.  She noticed great overlap and incidence of other conditions rarely seen in ones who do not have these conditions.  She further began working to ensure patients have access to cares when discovered resources were limited.  She saw the amazingly beautiful transformations when patients were able to get the needed cares.  She also enjoys teaching others about the conditions along with ensuring patients understand their health for best outcomes.  However, she also noticed for some patients things would seem frustrating when costs may vary from 1 clinic to the next depending on tier coverage, varying costs for insurance plans, and changes from 1 year to the next that could impact care or ability to continue working with the same providers.  Thus, in order to be the most fair for everyone, she established the exact same rates and billing for all patients, regardless of any factor.

She is also proud to be a mother along with being a physician.  She considers herself very fortunate to have been raised by an amazing, independent, intelligent, and strong woman who taught her to never settle for anything less than her best as well as not giving up on anything she believes in, which is why she felt drawn to open this clinic. Her hobbies include spending time with family, friends, travel, cooking, art in all forms, nature, animals, and writing. She further enjoys working with wonderful patients and staff.



Phone Numbers

Scheduling, Triage, Questions, Main 651-756-9596


Office, Administrative, Billing 651-756-9595




Administrative / Telemedicine Office -- Shoreview, MN

Shoreview Office 

4700 Lexington Ave N, Ste C,

Shoreview MN, 55126


Mailing Address / Mail Records to --

PO Box 270653, Vadnais Heights, MN 55127

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