After scheduling your appointment, please complete the necessary paperwork and set up your login details for the ChARM EHR Patient Portal. The intake forms and consent documents will be sent electronically with your appointment confirmation. Completing this step, which takes approximately 30-45 minutes, helps us better understand your health background, allowing us to provide a tailored and effective approach to your care. We kindly request that these forms be completed 48 hours before your initial visit.
To book an appointment with us, you can use our convenient online scheduling system on our website, schedule directly through the ChARM EHR Portal, or contact our office.
To keep your care on track, we highly recommend booking your follow-up consultation immediately after each appointment. This ensures alignment with your doctor’s schedule and avoids delays in your treatment plan. Our office will send two reminders via the ChARM EHR portal to schedule your follow-up appointment. If you do not respond to these reminders, it becomes your responsibility to book a follow-up visit to review your test results and discuss how they may impact your care. Timely scheduling is crucial, especially for complex or ongoing cases, to ensure your treatment plan remains on schedule and effective.
To ensure an efficient and productive consultation, we encourage patients to provide all pertinent medical records before their appointment. Organizing and sharing this information helps us perform a thorough review of your health history and optimize your treatment plan.
We recommend uploading all records to our secure, HIPAA-compliant ChARM EHR portal. This ensures your data is safe and accessible to our team before your appointment. Submitting records ahead of time helps reduce administrative delays and allows us to dedicate more time to your care.
Providing a complete medical history helps us create the best care plan for you. Please share the following:
To maximize the value of your visit, we recommend the following:
If you have any questions about how to upload your records or need assistance using the ChARM EHR portal, please contact our office. We’re here to help make the process as seamless as possible!
Potential patients complete a detailed health survey to share their medical history, symptoms, and overall health goals. This helps us determine if your concerns fall within our areas of expertise, which include thyroid conditions (such as hypothyroid, hyperthyroid, Hashimoto’s, and Graves’ disease), adrenal imbalances, female and male hormone issues, metabolic conditions, and wellness/prevention care. Common symptoms we treat include fatigue, hair loss, insomnia, brain fog, mood swings, and more. We do not treat children under 16, Addison’s disease, Type 1 diabetes, advanced Type 2 diabetes, or complex autoimmune conditions unrelated to thyroid health.
If your health concerns align with our expertise, you’ll be invited to schedule a 10-minute Meet and Greet appointment. This introductory session allows us to discuss your concerns, review your survey responses, and determine if NES™ is the right fit for your care.
This process ensures we provide the most effective and personalized care for each patient. Let us know if you have any questions or need assistance starting the process!
For qualified patients, the initial consultation is a comprehensive 60-minute session designed to:
To ensure fairness and accommodate patients on our waiting list, we require prepayment for the New Patient Consultation at least 1 week before the scheduled appointment. This policy helps us maintain a commitment to all patients.
At NES™, our Post-Consultation Appointment is designed to review and analyze your initial consultation findings, integrate any additional testing, and provide detailed recommendations to continue optimizing your care. This is the next step for most patients following their initial consultation.
During your Follow-up Appointment, we aim to:
At Natural Endocrinology Specialists™ (NES), we deeply value the time and well-being of both our patients and our doctors. We strive to ensure that each appointment is conducted in a timely manner, with ample time dedicated to understanding and addressing your health concerns. However, we also recognize that unforeseen circumstances may occasionally affect appointment schedules.
While we do our absolute best to keep to the scheduled times, there may be instances when our doctor is delayed due to the complexity of care needed by another patient. If the doctor is running more than 30 minutes behind your scheduled time, rest assured that we will still provide the full, dedicated appointment time you deserve. We appreciate your understanding and patience in such instances and will make every effort to stay on time.
We ask that you respect the time reserved for your care by arriving on time for your appointment. If you are late, we will still do our best to accommodate your visit; however, the time you are late will be deducted from the total appointment duration. This ensures that we can remain respectful of the schedule for all patients. For example, if you are 15 minutes late for a 60-minute appointment, your session will be 45 minutes instead of the full hour.
We understand that scheduling medical appointments can be a challenge, but we strongly encourage you to prioritize the time dedicated to your health. When booking an appointment, please plan to allow 1-2 hours to ensure your visit is thorough and unhurried. This flexibility gives us the opportunity to provide the highest quality care while accommodating any unexpected delays that may arise.
We appreciate your partnership in helping us maintain an efficient and respectful schedule for everyone. If you need to reschedule or have any concerns, please don't hesitate to reach out to us.
At NES™, we will send out a 72-hour appointment reminder. It is the patient’s responsibility to keep track of the appointment date and time and to arrive in a timely manner. In order to provide all patients with high quality care, we require a 48-hour cancellation notice.
This reserved time has been allotted to you and if you need to change it, we would appreciate the notice so that we can better serve you and our patients receiving care. If you are 5–15 minutes late to your appointment, this time will be deducted from your allotted time of consultation as it impacts the doctor's schedule. Patients arriving more than 10 minutes late to their appointment will be subject to the providers’ decision to be seen, rescheduled or changed to a brief visit.
Patients arriving more than 20 minutes late will be subject to a rescheduled appointment. Patients who do not call or show up for the scheduled appointment will be subject to a missed appointment fee of 100% of visit. Anytime there is a no call/no show or missed appointment, this will be documented in your chart. Numerous missed appointments can result in dismissal from the practice and/or require you to prepay for your visit. We understand that emergencies do occur and you may not be able to communicate your absence for a scheduled appointment.
We strive to remain on schedule for all appointments; however, delays can occasionally occur due to the detailed and individualized nature of our care. We ask for your understanding and patience, as there may be a 45-minute window after your scheduled time in case of unexpected delays.
At NES™, we aim to provide the highest standard of care—whether in person or via telehealth. Please feel free to reach out to our office with any questions or concerns about telemedicine services.
At NES™, we are committed to supporting you through your health journey. Managing chronic and complex conditions often requires time and careful adjustments to your treatment plan. Please understand that achieving optimal results may involve multiple iterations of treatments and follow-up visits.
NES™ specializes in the management of common hormone-related concerns. While we are here to provide comprehensive care for your ongoing needs, our practice is not designed to handle acute or emergency care.
We aim to respond to messages sent via the patient portal within 72 hours during the workweek and weekends. For phone consultations, these must be scheduled as an appointment, with a fee applied for the allocated time. In the time between appointments, we offer the convenience of sending up to two messages in your patient portal to address any questions, seek clarification, or discuss concerns related to your treatment plan. Please be aware that after these two messages, each subsequent message will incur a fee of $25.
If you experience an emergency, please call 911 or visit an emergency care facility immediately. NES™ does not provide after-hours on-call care. However, our practitioners will address your concerns during regular business hours via the ChARM EHR portal or during your scheduled visits.
Please note that NES™ does not use text messaging as a method of communication. While you may receive automated appointment reminders via text, two-way texting is not supported. For any questions or concerns, please use the Patient Portal, email, or phone call as outlined above. This ensures secure, consistent, and documented communication between you and our clinic.
At NES™, we strive to provide the best care while respecting the time and needs of all our patients. To ensure fairness and efficient scheduling, the following payment policies are in place for all appointments.
At NES™, you will have a couple of payment options. You can either prepay for the visit online or by calling the office or pay at the time of service. We are a cash-pay practice and are not associated with any insurance companies.
Please keep in mind that our practice does not accept Medicare or supplemental Medicare plans for services. This policy applies to all our office's services, including consultations, bloodwork, imaging, and diagnostic tests. Patients are fully responsible for payment at the time of service.
We can assist you with reimbursement documents that you can submit to your insurance if needed. We cannot bill directly to any insurance company and it is your responsibility to check with your insurance provider to see if you are eligible for coverage and/or reimbursements for any visits and services you receive. If you cannot pay for the visit at the end of service, you will be sent a bill within 7 days. If you do not pay your bill within 30 days of receiving it, it will be sent to the Professional Credit Services (Collection agency) and you will be responsible for any fees incurred.
At NES™ (NES), we are committed to providing high-quality care during every patient visit. Once a scheduled appointment is completed in full, we do not offer refunds. The time and expertise provided by our doctors during your appointment are dedicated to thoroughly addressing your health concerns, and we strive to offer the most comprehensive care possible during that time.
If your consultation has been conducted for the full duration of the allotted time, regardless of outcomes or treatment decisions, no refund will be issued. This policy ensures that our practitioners' time and expertise are fully respected, and reflects the value of the services provided during your visit. We encourage patients to come prepared to each appointment and engage fully in the care process to maximize the benefit of their time with our doctors.
All specialty test kits provided by NES™, such as Food Sensitivity Testing, Stool Tests, Saliva Tests, WatchPat, Galleri tests, and similar offerings, are non-refundable. These tests are not covered by insurance and necessitate upfront payment at the time of service. This policy applies to all specialty test kits we offer but is not limited to these mentioned. Purchasing a test kit indicates your commitment to follow through with the doctor's recommended course of action. We strongly encourage you to carefully consider all aspects and consult with your healthcare provider to ensure you are fully committed before making a decision or proceeding with your purchase.
Refunds are available only if specific conditions are met. Items must be sealed, undamaged, and in good condition. Refunds cannot be issued for sealed items with dents or packaging damage, as they cannot be resold. Supplements may be returned and exchanged within 3 days of the purchase if they meet these conditions.
Promotional items are final sales and are not eligible for returns or exchanges. We carefully ensure all supplements are in excellent condition before purchase, confirming this with patients at the time of the transaction. Therefore, we cannot exchange damaged items for the same product.
At NES™, we are committed to making our services accessible to patients across Arizona, including those who may be unable to visit our office in person due to the disabling nature of the conditions we treat. We offer remote telehealth consultations using secure, HIPAA-compliant systems to ensure the same level of care as in-person visits.
At NES™, we are committed to ensuring you have access to your medical records when needed. You are responsible for obtaining records from other healthcare providers or facilities. To authorize the release of these records to NES™, you must complete a Request for Medical Records form and contact the appropriate healthcare provider. NES™ cannot request or obtain these records without your authorization.
Your medical records at NES™ are available electronically at no cost through our secure, HIPAA-compliant ChARM EHR portal. We can also send your records electronically to the providers of your choice. If you prefer paper records, we follow Arizona State Statute 12-2295 guidelines for fees, which include:
Mailing and shipping costs are charged based on the actual expense, including postage, electronic media, and applicable taxes. Laboratory and other test results can be obtained directly from the testing facility. If you have any questions about accessing or transferring your records, please contact us for assistance.
