I’m Sarah Perales, a Family Nurse Practitioner and founder of Elevate Wellness – Direct Primary Care. I’m passionate about caring for people as whole human beings — not numbers on a chart or a list of symptoms to check off.

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After years of working in traditional healthcare, I became frustrated with a system that leaves patients and providers feeling rushed and disconnected. I found myself torn between wanting to give patients the time and empathy they deserved — like when someone sits across from me, tearfully sharing their struggles with depression — and the pressure of being an hour behind, knowing others are still waiting. That’s not how healing should feel.

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I created Elevate Wellness to do things differently. To slow down. To listen. To get to the root cause of what’s truly going on — whether it’s fatigue, hormonal imbalance, weight changes, or chronic illness — and to help my patients feel heard, cared for, and empowered.

 

My background spans more than 13 years in healthcare — including five years as a Family Nurse Practitioner in primary care, and years before that in pediatric ICU, adult emergency care, and school nursing. I earned my Bachelor of Science in Nursing (RN) from the University of Texas Health Science Center at San Antonio and my Master of Science in Nursing (FNP) from the University of Texas at Arlington. These experiences shaped my holistic view of medicine and deepened my belief that compassionate, preventive care can truly change lives.

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At Elevate Wellness, my approach is rooted in prevention, lifestyle, and connection. I believe health should never be broken into separate programs or profit centers. That’s why services like weight management and hormone therapy are included in your membership — because they’re part of who you are, and your health deserves to be whole.

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When you join Elevate Wellness, I want you to feel like part of the family — the kind of relationship people used to have with their small-town doctor who knew them, cared about them, and walked with them through every season of life.

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Outside of medicine, I’m a wife to my amazing husband of 12 years and a proud mom to our four beautiful (and wonderfully wild) children — Eian, Ellis, Olivia, and Joanna. We’re lifelong San Antonians, and I grew up in the small town of La Vernia, Texas, which is part of why I’m so passionate about increasing access to care for rural and underserved areas through telemedicine. When I’m not caring for patients, you’ll usually find us camping, traveling to the mountains, or cheering at one of our kids’ sports games — always surrounded by our big extended family.