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Kentucky · Video visits statewide
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Care that fits your life
Telehealth care in Harlan, Kentucky.
Wade’s Care First sees Harlan 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 Harlan.
Telehealth only. No office in Harlan: you join from wherever you are in Kentucky. Pricing · Insurance Accepted
Services
What Harlan 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 Harlan.
Harlan ARH Lab is located at 81 Ball Park Road, Suite 103. The hospital also offers diagnostic imaging. Confirm the requested test, order acceptance and insurance before visiting. For Quest or Labcorp collection options, use the laboratory’s current locator; the suitable location depends on the test and your coverage.
If you already see Clover Fork or Mountain Comprehensive Health, tell us and we will coordinate with them. Walgreens has no Harlan County store, so name the local pharmacy you use, and ask about 90-day supplies and mail-order refills to cut down on trips.
Blood work
Harlan ARH Lab is at 81 Ball Park Road, Suite 103. Use Quest and Labcorp’s official locators for additional collection options. Confirm services, outside-order acceptance and insurance directly with the chosen facility.
Imaging
Harlan ARH Hospital Radiology, 81 Ball Park Rd (diagnostic radiology and mammography); Middlesboro ARH and Whitesburg ARH radiology also offer mammography.
Pharmacies
Walgreens’ Kentucky store directory lists no Harlan County store; the nearest listed Walgreens town is Pineville. Local chain and independent pharmacies serve Harlan.
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 Harlan questions.
Does Wade’s Care First have an office in Harlan?
No. Wade’s Care First is a telehealth practice. You join your visit by secure video from home, work or anywhere in Kentucky, 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 Harlan, such as Harlan ARH Hospital (81 Ball Park Rd; Level IV trauma center, Kentucky Trauma Advisory Committee verified; emergency department; labor and delivery ended Feb. 28, 2025) and Middlesboro ARH Hospital (3600 W Cumberland Ave, Middlesboro; Level IV trauma center) and Whitesburg ARH Hospital (240 Hospital Rd, Whitesburg; Level IV trauma center), the ARH birthing hospitals Harlan patients are referred to.
Where will I go for blood work if I live in Harlan?
Harlan ARH Lab is at 81 Ball Park Road, Suite 103. Use Quest and Labcorp’s official locators for additional collection options. Confirm services, outside-order acceptance and insurance directly with the chosen facility. 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 Harlan hospitals have an emergency department?
Harlan ARH Hospital (81 Ball Park Rd; Level IV trauma center, Kentucky Trauma Advisory Committee verified; emergency department; labor and delivery ended Feb. 28, 2025) and Middlesboro ARH Hospital (3600 W Cumberland Ave, Middlesboro; Level IV trauma center) and Whitesburg ARH Hospital (240 Hospital Rd, Whitesburg; Level IV trauma center), the ARH birthing hospitals Harlan patients are referred to. 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 Harlan for in-person care?
Clover Fork Clinic (Clover Fork Outpatient Medical Project, HRSA look-alike; Harlan, 209 E Mound St; Evarts, 101 Chad St; school-based sites) and Mountain Comprehensive Health Corporation (Harlan Medical Center, 132 Village Center Rd; Cumberland Medical/Dental Clinic, 1620 E Main St, Cumberland) 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 Kentucky Medicaid or other insurance for a telehealth visit from Harlan?
Kentucky Medicaid, state-specific plans and HMO plans are not accepted. Plans accepted in Kentucky: BCBS / Anthem PPO, UnitedHealthcare PPO, UMR (PPO), Aetna PPO, Cigna PPO, Humana PPO, Ambetter PPO, TRICARE. Benefits are verified before your visit, and self-pay pricing is posted if your plan is not accepted.
Is Harlan a health professional shortage area?
Primary Care: low-income population HPSA LI-Harlan County (score 20, designated 2022, updated 2025). Mental Health: high-needs geographic HPSA Cumberland River MHCA (score 13). FQHC look-alike HPSA: Clover Fork Outpatient Medical Project (21 primary care, 21 mental health). MUA: Harlan County (1978). 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 Harlan patients ask about primary care, mental health and medical weight management.
- How can home blood pressure readings be used during a virtual visit?
- Can primary care help when I have several symptoms that may be connected?
- How can I tell whether worry has become an anxiety disorder?
- What is the difference between a panic attack and generalized anxiety?
- What is medical weight management?
- Am I a candidate for medical weight loss?
All Primary Care Questions All Mental Health 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 Harlan patients.
Articles on the care people in Harlan book most, each linked to its service and booking.
Mental Health
Does Wellbutrin Help with Anxiety? What You Need to Know Before Starting Online Treatment
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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.
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Dermatology
Which Medications Can Cause Hair Loss in Women?
Learn how medications can contribute to hair loss and what to discuss with your prescriber before making any changes.
Read Article →
A local landmark
Harlan County Courthouse
The historic Harlan County Courthouse in Harlan, Kentucky.
Photo: W.marsh / Wikimedia Commons · Source · CC BY-SA 3.0. Resized for display.
Underserved area · Harlan County
Getting care in Harlan
Small county seat in the coal valleys of southeastern Kentucky, where Harlan County has lost about a third of its residents since 1990 and carries some of the heaviest chronic disease rates in the state.
Harlan County has one hospital, Harlan ARH on Ball Park Road, a Level IV trauma center with an emergency department. It stopped delivering babies in February 2025, so expectant mothers now travel to Middlesboro or Whitesburg, and county life expectancy is about 66 years. The county has been federally designated as medically underserved since 1978, HRSA scores its low-income primary care shortage at 20, and the population has dropped by about a third since 1990, taking doctors with it.
Clover Fork Clinic in Harlan and Evarts and Mountain Comprehensive Health’s Harlan Medical Center are the sliding-fee clinics. A video visit with Wade’s Care First adds a primary care and mental health clinician you can reach from home, with labs and prescriptions sent to Harlan.
Access in Harlan County
HRSA designates Harlan County’s low-income population a primary care HPSA (LI-Harlan County, score 20) and includes the county in the high-needs geographic Cumberland River MHCA mental health HPSA; Clover Fork carries look-alike HPSA scores of 21. The whole county has been a Medically Underserved Area since 1978. Harlan County’s population fell from 36,574 in 1990 to an estimated 24,725 in 2025. Walgreens’ Kentucky store list has no Harlan County store; the nearest listed town is Pineville.
Harlan ARH ended labor and delivery on Feb. 28, 2025, referring expectant mothers to Middlesboro and Whitesburg (ARH). Harlan County Community Action Agency runs demand-response public transit and Medicaid rides. County Health Rankings (2025) puts Harlan County life expectancy at 65.7 years, versus 73.3 for Kentucky. CDC PLACES estimates 13.1% of Harlan County adults lacked reliable transportation in the past year, and 49.0% report a disability.
Who this helps most in Harlan
Harlan County’s health numbers are among the hardest in Kentucky. CDC PLACES estimates 17.9 percent of adults have diabetes, 45 percent have obesity, 16 percent have COPD and more than a quarter smoke, and nearly half of adults report some form of disability. About one adult in eight went without reliable transportation in the past year. Video care fits people managing several chronic conditions who struggle to make every appointment, retired miners and their families with breathing and heart problems, caregivers who cannot leave a relative at home, and adults seeking help with depression or anxiety. A strong signal matters, so plan your visit where coverage is best. For chest pain, stroke symptoms or serious injury, call 911 or go to Harlan ARH.
Local health considerations
- Chronic disease: CDC PLACES (2024 release; 2021–2022 survey data; crude modeled estimates) estimates Harlan County adult diabetes at 17.9%, obesity 45.0%, COPD 16.3%, smoking 27.2% and high blood pressure 46.9%, all well above Kentucky county medians.
- Disability and transportation: 49.0% of adults report a disability and 13.1% lack reliable transportation (PLACES).
- Shortage: low-income primary care HPSA score 20; Medically Underserved Area since 1978 (HRSA).
- Population loss: Harlan County fell from 36,574 (1990) to about 24,725 (2025).
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