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Frequently asked questions
General
Follow-ups can be scheduled in one of the following ways:
• Through the front desk
• Directly with me during your visit
• Online via the Athena patient portal (https://consumer.scheduling.athena.io/?locationId=29632-2&practitionerId=29632-5 patient Portal: https://29632.portal.athenahealth.com/)(link it?)
Important:
Scheduling through the Athena portal will automatically default to 30-minute visits.
If you’d like a longer appointment that includes both naturopathic consultation and acupuncture, please either:
• Call the front desk to request a 60-minute visit, or
• Book two 30-minute visits back-to-back through the portal
We ask patients to give us 48-hour notice if they need to reschedule or cancel an appointment.
Late cancellations or missed appointments will incur a 100.00 fee to cover irrecoverable overhead costs as we are often unable to reschedule that appointment slot with another patient without sufficient notice. You are always welcome to switch your visit to a telemed visit if you are in the state of Oregon.
We do our best to verify your insurance coverage to the best of our ability. However, the information we receive from your insurer is not comprehensive nor a guarantee of payment. Therefore, it is essential for you to:
• Understand your insurance policy: Familiarize yourself with your coverage details and any exclusions. This includes understanding your deductible and percentage of coverage that is your responsibility for all services including office visits, labs, imaging, etc.
• Review your Explanation of Benefits (EOB): After receiving services, check the EOB statements to see what has been paid and what remains your responsibility.
While not all-inclusive, these are some of the most commonly used CPT codes that may be billed depending on the services you receive:
99205: new patient visit
99213, 99214, 99215: return visits
G2212 or 99417: Prolonged Services
97140 or 98925-98929: Manual Therapy
97014: Electric Stimulation with acupuncture
97810 and 97811: Acupuncture
It's helpful to check which lab(s) are in-network with your insurance plan and what your lab and imaging benefits cover. These services are billed by the lab or imaging facility directly, but knowing where to order can help avoid delays in care.
In most cases, I cannot serve as your designated Primary Care Provider (PCP), as I do not offer 24-hour medical access or emergency care. However, I can support you with non-urgent wellness needs, routine screening discussions, and ongoing management of non-DEA medications. I encourage all patients to maintain a relationship with a PCP who can provide acute and emergency care when needed.
Initial visits are typically one hour long. We’ll take time to review your current symptoms, medical history, past evaluations, and treatment experiences. In more complex cases, we may need more than one visit to fully understand your health picture.
To make the most of our time, please have any relevant lab results available and bring a list of current medications and supplements. You’re also welcome to upload these directly to the patient portal before your appointment.
I can provide a superbill for you to submit to your insurance for potential out-of-network reimbursement.
HSA/FSA accounts can be used for eligible services. If your plan requires a Letter of Medical Necessity, I’m happy to provide one during your visit at no additional charge. If the letter is requested outside of a visit, I charge a $20 fee since insurance does not cover time spent creating these documents outside of appointments.
• I am able to complete most disability or paid leave paperwork for the State of Oregon, but not for federal programs (such as SSDI or SSI).
• In most cases, this paperwork is filled out in-office with the patient to ensure accuracy.
• If completed outside of a visit, a fee will be charged for the time spent which includes time spent messaging the patient if clarification is needed.
• Paperwork is typically completed within 1-2 weeks and in many cases faster if done during a visit. Expedited requests may be accommodated, though turnaround cannot be guaranteed.
• I do not complete disability paperwork for new patients. At least 1–2 visits (sometimes more) are required to establish care and properly assess your condition before I can ethically and legally complete these forms.
Follow-up frequency depends on the type of care provided and how often your treatment plan may need to be adjusted. For many patients, return visits are scheduled every 4 - 6 weeks, though some may space out to every 3 - 6 months once things are stable.
For more complex or acute cases, I may recommend more frequent visits -such as every 1 - 2 weeks- especially during the initial stages of treatment, if our schedules allow.
We’ll tailor the frequency to what your care requires and what feels sustainable for you.
Because I’m licensed as both a Naturopathic Doctor (ND) and an Acupuncturist (LAc), I can offer integrative care that draws from both systems.
You’re welcome to book naturopathic visits without acupuncture, but I typically don’t offer stand-alone acupuncture without also including naturopathic support. In my experience, the two are deeply connected for me and work best together.
Most of my follow-up visits are 30 minutes. If you'd like to receive both acupuncture and naturopathic consultation in the same visit, please schedule a 60-minute appointment so we have enough time to fully support you.
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