Medical Services –

Not Currently Accepting New Family Practice Patients*

Book Now

At CAYA Health Centre, we offer episodic health care for all women, trans, and non-binary individuals. We treat all patients and clients with presenting concerns, including: 

  • Contraception counselling
  • Routine Pap tests
  • Gentle Pap tests (For those who have had previously difficult Pap tests or require longer time) – Please email info@cayahealthcentre.com for more information
  • Intrauterine device (IUD) insertion/removal
  • Nexplanon insertion/removal
  • Breast/Chest examination
  • STI testing and treatment
  • Hormonal health, including Polycystic Ovary Syndrome (PCOS)
  • Perimenopause/Menopause
  • Painful periods
  • Premenstrual Dysphoric Disorder (PMDD)
  • Pelvic floor dysfunction
  • Pelvic and sexual pain
  • Adult (19+) Trans Care Hormone Readiness Assessment
  • Adult (19+) Hormone starts and stabilization
  • Adult (19+) Trans Care Surgical Readiness Assessment and referrals

* Please note that we are a small practice and our current wait times for IUD insertions/removals, contraception counselling, STI testing and treatment, and Pap tests is ~ 6 weeks. Our current wait time for new consultations and new Trans care appointments is 4-6 months. For patients currently receiving gender-affirming care, please note that Dr. Vitagliano, Dr. Firestone, and Dr. Smith are currently on leave. We appreciate your patience and understanding.

For information about our Obstetricians/Gynaecologists (OB/GYNs), please visit this page.

Book a Medical Appointment

Please select your situation below

To book a follow-up appointment with your Family Doctor, Nurse Practitioner, or our Registered Nurse, please click here. Please note that our Family Practice is currently full and not accepting new patients at this time.

For Pap tests, Breast Exams, Contraception Counselling, Hormonal Health, Pelvic Pain, STI Testing/Treatment, IUD and Nexplanon insertion/removals, and/or Trans care follow-ups, please email us at info@cayahealthcentre.com and we will send you a booking link.

We triage referrals based on urgency and time we received it. Please have your family doctor (GP) fax a referral to 604-638-0430. Once we receive the referral, we will send you an intake form and booking link.

Please allow ~4 weeks to process the referral.

For a Pap test, please email us at info@cayahealthcentre.com Please note: Anyone with a cervix, including women and TTGD (Two-Spirit, transgender and gender diverse) people, between the ages of 25 and 69, should screen for cervical cancer every three or five years (unless recommended by your doctor).

Please fill out ONE of the intake forms below and we will contact you within 3-4 weeks to book an appointment:

Intake Form for Trans Care/Gender Affirming Care

Intake Form for all other medical appointments as listed on our website

If you are a current family practice patient, you are welcome to book with our nurse regarding any health concern you may have. Our nurse typically has earlier availability than our doctors. Please use the link here.

Are you feeling a bit nervous or anxious about an upcoming medical appointment or procedure? Or are you hoping to ask some health-related questions but unsure if you need to see a physician? You can also book with our Registered Nurse! She offers pre-medical support sessions that could help support you in feeling more prepared for your appointments. You can read more about her here and about the pre-medical support sessions here.

Please note:

Prenatal appointments with the nurse are only available to patients who are part of our family practice.

The nurse is not able to refill prescriptions, these must be booked with a medical doctor.

For all other episodic health concerns and for those who do not have a family doctor (GP), you can book in with our registered nurse for the following concerns:

  • Contraception counselling
  • Hormonal health, including Polycystic Ovary Syndrome (PCOS) (Prep call consult pre doctor appointment)
  • Perimenopause/Menopause (Prep call consult pre doctor appointment)
  • Painful periods (Prep call consult pre doctor appointment)
  • Premenstrual Dysphoric Disorder (PMDD) (Prep call consult pre doctor appointment)
  • Transcare (Prep call consult pre doctor appointment)
  • Pelvic floor dysfunction (Prep call consult pre doctor appointment)
  • Pelvic and sexual pain(Prep call consult pre doctor appointment)
  • PAPS (Prep call consult pre doctor appointment)

For gender-affirming care appointments with Dr. Vivian Berg, please have your physician send a referral. Once we receive the referral, we will contact you. Please DO NOT fill out the new patient intake form.

Follow Ups: Dr. Berg will let you when to book a follow up appointment. To book an appointment, please email info@cayahealthcentre.com.

Please note Medical Appointments are booked through our Cortico Online Portal.

For information about our Obstetricians/Gynaecologists (OB/GYNs), please visit this page.

Sharing and Uploading Documents

Please do not email your documents to us – they will not be added to your chart. You can upload documents by using the Patient portal.

Meet our Medical Team:

Dr. Michelle Huget
(She/her/hers)

Medical Director

General Practitioner

Melissa Nicholson
(She/her/hers)

Nurse Practitioner

View Bio
Dr. Vivian Berg
(She/her/hers)

Internal Medicine Specialist

View Bio
Kayla Bolduc
(She/her/hers)

RN

Registered Nurse

View Bio
Dr. Karen van Wyk
(She/her/hers)

General Practitioner

Dr. Melissa Vitagliano
(She/her/hers)

General Practitioner

Book an Appointment

In Person and Virtual Appointments Available in Vancouver, British Columbia
to make an appointment please review our booking instructions above and then fill out our Appointment Request Form 

Appointment Request Form