Initial Intake Consult:
Your first visit will typically take around 90 minutes, which ensures an adequate amount of time to understand your case. During this time we will gather your health and medical history, better understand your current condition, and develop our treatment plan.
Follow Up Visits:
Your follow up visits will typically be between 30-60 minutes, based on our treatment approach as well as the complexity and urgency of your condition. Follow up frequency will be based on your need and case complexity.
Testing may be ordered to better understand or diagnose your condition and is often the best way to monitor progress. It is my priority to be focused, cost-effective, and reasonable with the amount of testing performed. Tests may be ordered through Laboratories you are already familiar with or through specialty laboratory companies.
I am a Fee-for-Service office and payment is due at the time of your service. See the Insurance section for more information on reimbursement.
Genetic Casework Service:
Interpreting the genetic data of the 23andMe or similar test requires dedicated time to combine the genetic markers, your history and conditions, along with any past records or lab work into an Interpretation and Plan. This is a service completed secondary to the Intake Consult and is casework completed outside of a consult. This Interpretation and Plan is then delivered and includes the following components formulated for your specific case:
- Nutrient (Supplement) Guidance
- Medication Commentary if applicable.
- Dietary Guidance
- Laboratory Recommendations
- Lifestyle Guidance as appropriate.
- Interpretation and Summary of your significant Genetic Markers.
Instructions for Processing the 23andMe Data:
To download the raw data follow these steps:
- Login to your 23andMe profile
- Follow these directions from 23andMe to download your raw genetic data. https://customercare.23andme.com/hc/en-us/articles/212196868-Accessing-and-Downloading-Your-Raw-Data
- If asked, select “All DNA” for the information to be downloaded.
- The file should save to wherever your computer is configured for downloads. (The file may download as a .txt file, compress it back to the .zip format to run the report.)
The sorting report I preferentially use:
- To perform the report, select the “Sterling App” on the toolbar and follow to “Order Reports”.
- You will need a PayPal account for payment.
- Please order the Variant report.
- To view the report, select the “Sterling App” on the toolbar and follow to “View Reports”. Click on the “eyeball” looking icon to the right of the report name, then select “Click here to download your report as a PDF on the upper right”. The report that downloads is the report to deliver.
- Please send a copy of the PDF report prior to your appointment.
I am not contracted or “In-Network” with any insurance carriers. While payment is due at the time of service, you may be eligible for reimbursement through your health coverage. In the state of Arizona, Naturopathic Physicians are licensed to practice medicine a Primary Care Providers. Unless your insurance policy specifically excludes Naturopathic Physicians, you should be entitled to reimbursement.
To find out if your insurance company will cover your Naturopathic medical services, there are a few things you can do:
- Look at your policy.
If the “Definition of Physician” in your policy does not specifically either exclude Naturopathic Physicians, or limit the definition to specific providers other than Naturopathic Physicians, then you may be covered for Naturopathic services.
- Call your insurance company.
The following are a few suggestions of what to say/ask while on the phone:
- Does my policy cover services performed by a licensed Naturopathic Physician?
- Does the “definition of physician” in my policy specifically exclude Naturopathic Physicians? Request a copy of the definition.
- Does the definition limit services to specific health care providers? Which ones?
- Naturopathic physicians are Primary Care Providers licensed to practice medicine in my state.
If your policy covers Naturopathic medical services, file your claim for reimbursement. I will gladly provide you with a Superbill form to assist in your reimbursement submission.
If your policy does not cover Naturopathic medical services please lobby for coverage and consider finding a policy that does. Section 2706 of the Affordability Care Act is believed to provide coverage in states that license Naturopathic Physicians, however this has yet to be implemented by insurance companies.
Naturopathic Medicine is a system of medicine that focuses on the prevention of illness and treatment in a less-invasive and holistic way. Although Naturopathic Medicine has been a part of the American health care system for over 100 years, its philosophy and roots go back through medical history to the healing wisdom of many other cultures and times dating back thousands of years. Today, Naturopathic Physicians skillfully blend all of the modern, cutting-edge elements of conventional medicine with the ancient, time-honored natural healing techniques that have been used for centuries. They offer the world a healing paradigm founded on a rational balance of tradition, science, and respect for nature.
In the past few decades, Naturopathic Medicine has experienced a large resurgence in the United States due to the health conscious public taking a more active role in their health care and seeking out alternatives to conventional treatments. People want to be seen as whole beings, not simply as a list of symptoms or as a particular disease. People want time and honesty from their Physicians. They want to be empowered and have more control over their own health. People want preventative therapies and treatment that solves the problem, not suppressive quick fixes. Naturopathic Medicine provides these things.
Naturopathic Medical Doctors (ND’s or NMD’s) are trained as primary care providers and are the only general practitioners trained as specialists in natural medicine. Naturopathic Physicians are trained in a four-year medical school and are required to pass comprehensive national licensing exams (NPLEX) in order to be licensed. Once licensed, they are able to diagnose and treat medical conditions, whether acute or chronic. In practice, ND’s perform and use the same diagnostic tools that patients have experienced with their Allopathic Medical Doctors (MD’s) including; thorough history taking, physical exams, laboratory/blood testing, x-rays, ultrasounds, etc. We work closely with all other branches of medicine, referring patients to other qualified practitioners/specialists for diagnosis and/or treatment when appropriate.
ND’s differ from conventional physicians in their philosophy of treatment and some treatment modalities. They address the cause of disease not just suppressing symptoms. They treat the whole person, not just a particular organ or disease, and always remember that conditions are often connected. They respect the bodies innate ability to heal itself and use therapies to support this. They promote prevention of illness and teach you how to achieve your optimal level of health long before any devastating illness. Each treatment is unique and individualized to the person and condition being treated, providing the best opportunity for the health and growth of that person.
ND’s are licensed to prescribe conventional prescription medicines, however they typically choose not to use surgery and/or prescription medications as a first line of treatment unless necessary. Naturopathic Physicians offer safe and effective holistic alternatives to these conventional therapies, which include:
- Nutrition, Vitamins, and Supplements
- Dietary Interventions
- IV Nutrient Therapy
- Detoxification Support
- Lifestyle Counseling/Stress Management
- Botanical/Herbal Medicine
One of my favorite principles of Naturopathic Medicine has always been Docere, which means Doctor as Teacher. I am not sure when we stopped remembering that the word Doctor comes from the Latin word docere, which means “to teach.” I believe that medicine has lost a valuable skill in its all too often failure to educate the patient on how to take care of themselves as much as possible; empowering them to be an advocate for their health. I am passionate about teaching my patients and explaining to them not only their condition but also their options.
Dr. Dane Buxbaum
National Institutes of Health (NIH) Article on Naturopathic Medicine
Association of Accredited Naturopathic Medical Colleges
American Association of Naturopathic Physicians
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Complimentary Intro Consult
A brief consult to discuss your case and make sure we are the right match.