Our Policies at 
Natural Endocrinology Specialists™ (NES)

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.

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.

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.

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.

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.

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.

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.