Our Policies at 
Natural Endocrinology Specialists™ (NES)

Scheduling an Appointment

To book an appointment with us, you can either use our convenient online scheduling system on our website or contact our office directly by phone. Our practitioners have specific availability, so we encourage scheduling in advance to secure your preferred time slot.

Before Your Appointment

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.

Initial Consultation

Your first consultation with NES is a comprehensive 60-minute session to establish a strong therapeutic relationship and understand your health history in-depth. During this visit, your practitioner will perform a thorough evaluation, including a timeline of your health concerns and a physical examination. Lab work may be ordered to assist in diagnosing and developing your personalized treatment plan.

Follow-Up Appointments

The initial follow-up appointment is dedicated to reviewing your lab results and discussing any questions you might have. A detailed treatment plan tailored to address your specific health concerns will be provided. While we typically conduct follow-up appointments in person, we offer the flexibility of phone or video consultations as needed.

For ongoing care, follow-up appointment frequency will be tailored to each patient's needs, generally occurring every 4-6 weeks initially and then extending as you move into a maintenance phase.

Prescription and Medication Refills

At NES, ensuring the safety and proper monitoring of prescriptions is a top priority. To facilitate this, we dispense medications with the maximum number of refills permissible until a follow-up visit is required. We advise scheduling an appointment during the last month of your current refill cycle to prevent any disruptions in your medication regimen. It is important to note that medications that have exhausted their refills will not be renewed until an appropriate follow-up visit, often including lab work, has been completed.

To streamline the process, we kindly request that you give us a 72-hour notice for any prescription refill requests. This lead time helps us ensure that your medication management is handled efficiently and effectively, maintaining the continuity of your care without interruption.

Important Notice: Controlled Substances

Natural Endocrinology Specialists™ has updated our policy and will no longer prescribe or refill certain medications, including some controlled substances. We are committed to helping you find safe and effective alternatives and may refer you to your primary care doctor for management. Please schedule an appointment to discuss your treatment plan and explore other options.

Laboratory Testing

We encourage our patients to be informed about what their health insurance covers regarding laboratory testing. Prepaid rates offered by labs are often a cost-effective option for those whose insurance does not cover certain tests.

Patient Portal & Communication

For direct communication with your doctor, please use the ChARM EHR Patient Portal. While we welcome non-medical inquiries through the portal, please note that any medical advice, lab orders, prescription refills, or similar requests will require a scheduled appointment.

We aim to respond to messages sent via the patient portal within 48 hours during the workweek and 72 hours on 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 have questions that are not addressed above, we are here to assist you. Please feel free to contact us at any time.

New Patient Information

Intake Procedures

Please ensure we receive your completed intake paperwork at least one day before your first appointment. This helps us prepare for your visit and maximize our time together.

Rescheduling and Cancellation Policy:

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 will remind you about this policy after the first occurrence. After the second and future occurrences, you will be charged the appointment cost.

Re-establishing New Patients:

If a patient has not been seen for 2 years or more, they will be subject to the new patient fee.This policy ensures that we have up-to-date information and can provide the best care possible, given any changes in your health status or treatment needs.

Financial Agreement:

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. Please keep in mind that this is a cash pay practice and we are not associated with any insurance companies. 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.

No Refund Policy for Specialty Test Kits

All specialty test kits provided by NES™, such as Food Sensitivity Testing, Stool Tests, Saliva Tests, 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.

Consultation Policy:

To maintain high-quality care and comply with California's legal standards, our Naturopathic Doctors provide advice and services exclusively during scheduled office visits. This policy ensures thorough documentation and compliance with healthcare regulations.

For any health inquiries or to discuss your treatment, please arrange a phone consultation or follow-up appointment with us.

Feel free to reach out if you need to book a consultation or have questions about your care plan.

Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. She has extensive experience working in the field as a Hormone Specialist and Natural Endocrinologist.

7500 E. Pinnacle Peak Rd. Suite A 109
Scottsdale, AZ 85255

Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 7:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 3:30PM
Sat - Sun: Closed
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