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Frequently Asked Questions

What is Integrative Medicine?

Integrative medicine combines the testing and treatment techniques of both Naturopathic and Western medicine.  It encompasses the philosophy of not only treating illness, but exploring and addressing the underlying causes of disease while respecting the uniqueness of each patient.

My experience in medicine includes over two decades of working in varying roles in hospitals, long-term care facilities, home care, camps and even sailing ships.  I have worked in health education as adjunct clinical faculty in the school of Naturopathic Medicine.  I have acted as a bedside nurse, health care coordinator, and department charge nurse.  I combine the knowledge and skill I have gained from many years of nursing with the holistic philosophy of Naturopathic Medicine to provide truly comprehensive, integrative care for my patients.

What ShouId I Expect at My Visit?

First office visits last approximately 45-50 minutes and include an extensive, in-depth interview, preliminary lab orders, an initial individualized protocol, and physical exam when needed.  Follow up visits are approximately 30 minutes in length and include discussion of lab results and a further refined individualized protocol. Referrals to collaborating providers or specialists are also made if required.

Acute care visits and preventative health exams are available for established patients only.  

All patients are required to use our patient portal to allow for confidential communication and billing.  Intake forms are to be completed in the portal prior to first visits so that we can be best ready to address your most important health concerns.

Conditions We Treat

We are happy to help with any health challenges and illness.  Specialty care includes women's health, adjunct oncology care, stress support, healthy weight management, auto-immune disease support, and treatment of endocrine and metabolic disturbances.  Depending upon the needs and preferences of the patient, treatment modalities may include nutritional counseling, nutrient and herbal supplementation, prescription medications, lifestyle interventions, and coordination of care through imaging and referrals.  

 

Acute care visits can be provided for established patients if availability allows, and annual exams are done for established patients only.

Insurance, Billing, & One-Time Administrative Fee

We currently accept Aetna, Cigna, and most Anthem/Blue Cross Blue Shield insurance plans.   For patients with most other health care policies, we will often submit to your insurance for possible out-of-network coverage as a courtesy.  Uninsured patients are responsible to pay at the time of the visit.  For any questions about co-pays, deductibles, or coverage, please contact your insurance policy directly.

We are considered an "ordering and prescribing" provider for both Medicaid and Medicare. While those policies do not cover visit fees, we are able to order labs, testing, and medication for patients with those insurances. Secondary policies for Medicare vary in their coverage for visits. If you have questions about their coverage, please contact your insurance provider directly for more information. 

 

Please note:  Effective 1/25/23, there will be a $75 one-time administrative fee for all patients scheduling their first visits.  Much of the time we spend to provide you quality health care is not covered by insurance costs.  This allows us to prepare for your visit and assure you the time and attention you deserve.  Billing will be completed through the secure patient portal at the time your appointment is made. 

The office accepts cash, checks, Visa, Mastercard, FSA and HSA cards.  All payments are made through the secure patient portal. For all patients, the card of your choice is kept on file to be used for deductibles, copays, and non-covered services.

We encourage all patients to call their health insurance providers PRIOR to their visit to understand what out-of-pocket expenses will be.

To schedule an appointment with our office, we encourage you to send an email drsarahznd@gmail.com or through our website.   Calls to the office may take up to 24 - 48 business hours to be returned.

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