This practice has no corporation ownership. This is a refuge where the patient relation is sacrosanct to all of us here caring for you. We appreciate the opportunity to care for the Whole Family providing you with medical services. This information is designed to answer many of your questions. We also want you to know certain things about our policies & methods of practice.

Our Christian faith supports us in our mission of healing by offering love, honesty, cooperation, and respect to all who enter here. Our staff deserve a similar respect from you. Their right to work in a safe environment means foul language and abusive or threatening behaviors will not be tolerated and may result in removal from this facility.


As primary care providers, Drs. Gancayco, Ramirez and Giese and nurse practitioners Lauren and Jonathan serve as your first contact with the medical system. Most medical conditions can be treated here including hypertension, asthma, arthritis, high cholesterol, diabetes, heart problems, ear, nose, sinus, and throat problems, injuries including stitches, acne, removal of minor skin lesions, gynecological services (as annual PAP smears). For pediatrics, newborn care, growth and developmental assessments, rashes, immunization, school problems (as attention deficit disorder).


Dr. Todd Giese was born and raised in Wheaton, Illinois. He got his biochemistry degree at the University of Illinois in Champaign-Urbana, and his medical degree at the University of Illinois in Chicago. He completed his MD training with a four-year residency in Adult Internal Medicine and Pediatrics and continues with recertification exams on a periodic basis. He is certified in whole food plant-based nutrition and is a member of the American College of Lifestyle medicine. He maintains a teaching position at the University of Illinois and is also on staff at Lurie Children's in Chicago. Several years he has been listed in the Castle Connolly book "Top Doctors- Chicago Metro Area" as well as Chicago Magazine top doctors [pediatrics 2004, 2006, 2010, 2024 and adult internal medicine 2018, 2022]. If your appointment is with Dr Giese, you might have a 4th year U of Illinois medical student start the visit. Dr. Giese does not prescribe birth control pills.

Dr. Racquel Ramirez-Dolleton was born in Manila in the Philippines and was raised in Chicago, Illinois. She got her biology degree at the University of Illinois in Chicago and her medical degree at Perpetual Help College of Medicine in the Philippines. She completed her residency in Family Practice at Swedish Covenant Hospital in Chicago. Dr. Ramirez remains a diplomat of the American Board of Family Practice.

Dr. George Gancayco grew up in Maryland. He got his Biology degree at Boston College then got his medical degree at Chicago Medical School. He then completed his training with a four-year residency in Adult Internal Medicine and Pediatrics at Loyola University Medical Center in Maywood, Illinois. He is a board-certified pediatrician as well as adult internist. He is also a Fellow in the American Academy of Pediatrics.

Dr. Jamie Gancayco grew up in Arlington Heights, Illinois. She received her Bachelor of Science in Nursing at the University of Michigan while doing her pre-med requirements. She then attended Loyola University Stritch School of Medicine and graduated in 1997 with her MD. She completed her 4-year residency in Internal Medicine and Pediatrics at Loyola University Medical Center. Dr Gancayco is board certified in Internal Medicine and in Pediatrics. She is also a Fellow in the American Academy of Pediatrics.

Nurse Practitioners

Lauren Mielke FNP-BC was born and raised in McHenry, Illinois. She received her Bachelor of Science in Nursing at Eastern Illinois University and Lakeview College of Nursing in Danville, Illinois in 2006. She has been a team lead/bedside nurse at local area hospitals for 11 years prior to joining Caring Family and has a wide variety of nursing disciplines. She then attended Olivet Nazarene University in Oakbrook, Illinois where she received her Master of Science in Nursing and became a Board-Certified Family Nurse Practitioner in 2017. She lives in Crystal Lake, Illinois with her two children. Lauren is passionate about the patients and families that she serves.

Jonathan Manley, FNP-BC was born and raised in Jacksonville, Florida and moved to Illinois in 2014. He received his Master of Science in Nursing at Rush University in Chicago, Illinois. He worked the bedside as a nurse at Good Shepherd Hospital for 4 years prior to joining the Caring Family team. He received his Nurse Practitioner training at Bradley University and became a Certified Family Nurse Practitioner in 2023. He lives in Cary, Illinois with his wife and four children.

Managed Care

Many insurance programs now require an initial visit with your primary care physician prior to approval of any other medical services. Pre-approval of specialist's visits as well as any medical testing may be required by your insurance. Emergency services rarely need special authorization. Caring Family's staff is knowledgeable and devoted to maximizing your insurance benefit. Help us to help you better by contacting us prior to incurring any expenses.

Hospital Care

Crystal Lake has many hospitals surrounding it: Northwestern's Huntley, McHenry, Woodstock, Harvard, Advocate's Good Shepherd, Mercy and Sherman.. We no longer manage your inpatient care in person, changing with the times by working with dedicated hospitalists who will communicate with us the findings from your hospital stay. We have consulting privileges at Good Shepherd, McHenry, and Lurie's as well as teaching appointment with University of Illinois at Rockford which keeps us connected with unique educational opportunities.

We will need to see you in our office within a week of returning home from a hospital stay to discuss medication changes and any needed clinical strategies. Advocate Physician Partner site #331 is our designation since Obamacare encouraged all to have accountable care. This basically means a lot of other people are involved in what information we gather at your visit. But we are still free agents (not corporate) just as you are free to not answer all such inquiries.


EPIC is now our software. Although an amazing tool with instant links to other medical care throughout the country, we will be taking extra time to ensure the accuracy of the "ported" data especially your first visit on the new system.
For the latest and greatest experience get the "Live Well" app for your smart phone or use the computer-based browser www.livewellaah.org. Pre-registration through the app also makes check in much easier for everyone.


Quest Diagnostics picks up lab samples twice a day and results come back by computer in a day or so. Your insurance may put restrictions on other laboratory testing. Results are reviewed by your doctors and are reported to you. On the Livewell app you can see your result before your provider! Call if you don't hear back (or get a mailed result card or email or phone message) from us in a week.

Other Testing

Electrocardiograms, rapid glycohemoglobin (A1C) testing, prothrombin testing (INR), rapid strep tests, rapid mononucleosis tests, instant result urine drug testing, pregnancy tests, pulse oximetry, and vision screening tests are done here at Caring Family. Remember that most insurance companies now require pre-authorization for any testing not done in your primary care physician's office.


Vaccinations are also given here for routine purposes and foreign travel. We advocate for shots whose risks are far less than the risk of disease. Though discussion on each shot is welcome, we are an immunizing practice, so those who choose no shots for instance for their children must seek care elsewhere.


Effective communication is vital to good health care. Help us to help you by writing down pertinent issues you wish to discuss at your medical visit. Have al list of your medications with the date the refills will expire!! Have all necessary documents, both from the medical end (i.e.: prescriptions taken, shot records, abnormal test results), as well as from the business end (a current medical insurance card, both primary and secondary). Make sure you get all medication refills at your visit. Medications are not to be requested by phone, as you are expected back when refills are due. Any phone encounter with our providers may generate a charge. Despite great technologic and scientific knowledge, medicine remains an art. We need feedback from you when something isn't working (or if it works remarkably well!).


Caring Family uses both front and back entrances to make a more peaceful experience for you, we are still all one cohesive practice. Our apologies when you must "go to the other entrance" (or drive around for a parking spot).


Caring Family's receptionists and medical assistants vary on their experience. Please make an appointment any time you have serious concerns so that our providers may adequately address your alarm in person. Any phone encounter with our providers may generate a charge which your insurance may or may not cover.

After Hours

The office is keeping late hours four nights a week. We realize problems crop up that may seem urgent after the office has closed. Please be sure your call is based on the seriousness of your medical problem and not on convenience. Voice mail keeps our costs down for non-emergency calls. When you truly need to speak to a doctor, whichever doctor is receiving calls that week will be paged. Your call to a doctor after hours should be returned within 20 minutes. If you do not hear from them within that time, CALL BACK.

Practice hours

You may choose the provider of your choice or take the most convenient time. Please call ahead for an appointment.

Monday through Thursday 8-7
Friday 8-4pm
Saturday 9-N (after 11 is restricted to "sick-only")


For poison control, call 800 222-1222
For life-threatening emergencies CALL 911.

Insurance companies typically give you till the next day to seek approval for a visit to the emergency room or urgent care for what you perceive to be life threatening. Even if a doctor or nurse is trying to talk you out of seeking emergency care, if you feel you need urgent help:


Most medical problems will be handled efficiently by the emergency room provider and if needed they will contact us directly. We generally now try to call you after such a visit, but we encourage you to call the next working day to give us a progress report and return for the follow up that was recommended. Records are entered into most regional medical facilities through the EPIC system and with a "few clicks" we can access them.


Are also given here for routine purposes and foreign travel. We advocate for shots whose risks are far less than the risk of disease. Though discussion on each shot is welcome, we are an immunizing practice, so those who choose no shots for instance for their children must seek care elsewhere.


We do our best to keep to our schedule. Help us by calling ahead if you will be late or unable to make a scheduled appointment. If you fail to cancel and are a no show you will still owe a $50 "no show" fee. We try to see sick patients the same day, and when we get a cancellation, we can schedule another sick patient to take your time slot.


We aim to please all our patients. If you are very unhappy with your visit at the time of service, let us know as you check out, and we will arrange for another one of our providers to see you that day or at the earliest availability at no extra charge.

Fees and Payments

If your insurance requires a co pay with an office visit, we are required to collect that before the visit. By the agreement with your insurance company, we are expected to refuse to see you if you do not have your co pay at the time of the visit. Please be familiar with your insurance plan's coverage details so that we don't have to give you unwelcome details. We make every effort to be good stewards of your medical dollars. Help us reduce costs by promptly paying balances due us. Visa and MasterCard are accepted for payment, and you can even pay online with "LiveWell" app on your phone or computer. If you are experiencing financial hardships, contact the office manager to arrange for a mutually agreeable payment plan.

Educational Resources

We may be able to provide you with current educational materials. In addition, Dr. Giese and his wife provide whole food plant-based nutrition talks along with food tastings in the fair-weather months. Most of our updated resources including class notes and recipes are posted here. In addition there are many useful web sites referenced here.

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