Fort Madison Med Spa & Direct Care

07/28/2026

Premenopausal women have options to rejuvenate their lives. Completely confidential consultations. Board certified nurse practitioner-led.

07/15/2026

Please say hello to your newest Fort Madison Med Spa + Direct Care medical assistant, Kaleigh.

She has spent half a decade in the med spa world helping clients achieve their personal goals in a safe, compassionate and friendly way.

Kaleigh and the team strive to meet the standards set forth by Dr. Goddard, our founder.

07/09/2026

Meet our newest provider: Chris Castello.

Chris Castello, MSN, APRN, FNP-C, is a board-certified Family Nurse Practitioner with a background in critical care, medical wellness, and patient-centered care. As part of the Fort Madison Med Spa & Direct Care team, Chris is committed to helping patients achieve their health and wellness goals through evidence-based, individualized treatment plans delivered with professionalism, compassion, and respect.

Chris earned his Bachelor of Science in Nursing from Barnes-Jewish College before completing his Master of Science in Nursing at Samford University. His clinical career began at a Level I Trauma Center and later included several years caring for critically ill patients in the Intensive Care Unit and Progressive Care Unit at Indiana University Health. Those experiences developed the attention to detail, clinical judgment, and focus on patient safety that continue to guide his practice today.

In addition to his clinical experience, Chris has helped develop and support successful medical wellness practices, bringing valuable expertise in patient care, clinical operations, and treatment protocols. At Fort Madison Med Spa & Direct Care, he works alongside the clinical team to provide accessible, high-quality care while supporting the practice's commitment to safe, personalized treatment.

Patients can expect thoughtful evaluations, clear communication, and clinician-guided care tailored to their individual needs. Chris is proud to be part of a practice that emphasizes medical oversight, patient education, and lasting relationships to help individuals look, feel, and live their best.

06/06/2026

Hi everybody. As I head out to Brazil the office in Fort Madison will close and so will the phone number.

For Botox and Aesthetics, contact Cary at Revive and Rejuvenate Wellness in Keokuk. Her laser is incredible and so is she. Call at 319-795-5303. The address is 3531 Main St, Keokuk.

For Weight loss call Chris and Kaleigh at 765-330-6150. They are incredible and some of my patients are aalready being served by them. Refer a friend!

Blessings to you until we meet again.

05/22/2026

Friday, May 22, 2026
As my final days in the office approach, I wanted to take a moment to say thank you.
Caring for this community has been one of the greatest honors of my life. The relationships built here—your trust, your stories, and your commitment to your health—are things I will carry with me always.
In the coming days, I will be stepping away to begin an 18-month medical mission in Brazil. While I feel called to this work, it is not easy to say goodbye to patients who have meant so much to me.
If you have not yet finalized your ongoing care, please be sure to do so:
• GLP-1 patients: continue your care with Chris Castello. He and Kayleigh have my full faith and confidence. And they have access to me in any concern that arises. Call at 765-330-6150.
That number is essential: 765.330.6150
• All other patients: establish with a primary care provider to ensure continuity.
My office remains available to assist with any final questions or medical record needs during this transition.
Thank you again for allowing me to be part of your lives and your care. It has truly been a privilege.
With sincere gratitude,

Rich Goddard MD

05/12/2026

I already sent this out but want to do it again. I have an amazing, supportive wife who looks out for me. After much thought and prayer, I want to share an important update with my patients and community.

In the coming months, I will be stepping away from my practice to serve on an 18-month medical mission in Brazil. This is a deeply meaningful opportunity for me, but it is also not an easy decision—caring for each of you has been one of the greatest privileges of my life.

To ensure continuity of care:

• Patients currently receiving GLP-1 treatment will have the option to continue their care with a trusted colleague, who shares my commitment to quality and patient-centered care. Chris Castello will take care of you like I would.

• For all other medical needs, I kindly ask that you begin transitioning to a primary care provider who can continue to support your ongoing health.

I understand that change can be difficult, and I truly wish I could continue alongside you during this time. Please know that this decision comes with both purpose and a heavy heart. I am profoundly grateful for the trust you have placed in me, and for the relationships we have built together.

Over the next several weeks, my office will provide guidance and support to help make your transition as smooth as possible. If you have questions or need assistance, please don’t hesitate to reach out.

Thank you for allowing me to be part of your care. You will remain in my thoughts and prayers, and I carry your stories with me as I begin this next chapter.

With sincere gratitude,

Rich Goddard, MD

05/12/2026

The radio show was a lot of fun. I feel like an actual dude with no name!

05/11/2026

They promised me I can stay alcohol-free. But why do I look serious/stern?

💥SUPERHERO DUDES💥Featuring Dr Feelgood, Troopzies, Coop, and Mikey. Listen LIVE from 6-7pm on Z93.9FM, radiokeokuk.com, and the Radio Keokuk app. Powered by Excel I.T. Services, Dr. Deliveries, and Bar-B-Dude sammiches! Podcast available.

04/20/2026

I want to share an important update with my patients and community.
In the coming months, I will be stepping away from my practice to serve on an 18-month medical mission in Brazil. This is a deeply meaningful opportunity for me, but it is also a difficult decision. It has been a true privilege to care for you, and I am sincerely grateful for the trust you’ve placed in me.
To ensure a smooth transition:
• Patients receiving GLP-1 treatment will have the option to continue their care with a trusted colleague who shares my commitment to high-quality, patient-centered care.
• For all other medical needs, I encourage you to begin establishing care with a primary care provider who can support you moving forward.
Over the next weeks, my office will work closely with you to make this transition as seamless as possible, including coordinating records and answering any questions. I am still working! Nobody need go without a prescription or a refill!
Thank you for allowing me to be part of your care. This community has meant more to me than I can fully express, and I carry that with me as I begin this next chapter.
With gratitude,
Rich Goddard MD
Fort Madison Med Spa & Direct Care