This is a subscription for ongoing support after the initial evaluation. These cases are often not easy and require time and diligence to resolve. Often multiple environmental manipulations have to take place over periods of time. This monthly membership allows for longer attention to the issues. This provides for working with them, and if needed their veterinarian to attempt to resolve the problem. You will continue to have access to your portal and be able to send Dr. Bertone transfers and other information regarding your equine. Once the issue has been successfully resolved, the monthly membership can be cancelled.