Thorough, professional, compassionate care.

Go to our Forms page to download your new patient paperwork. We strive to provide appointments within one to two weeks of calling. To make an appointment, please call us at 360.568.2686. Provider hours vary through the week, and we've designed our office hours to accommodate folks who need evening appointments. If you need to cancel, please call at least 24 business hours in advance so we may offer the appointment to someone on our wait list, and so you may avoid late cancellation or no-show fees.

We do our best to provide quality care for patients in our office and on the phone. If your call is missed during business hours, please hold for the next available receptionist or leave a message and we will call you back. You can also email questions or comments to info@snohomishnaturopathic.com. Although HIPAA laws prevent us from replying by email, we will print your email for the provider to review and respond with a phone call. Administrative staff strives to return all patient calls within 48 hours for non-emergent concerns.

If you are experiencing an emergency, please call 911 or go to your closest emergency room. If you have an urgent concern and would like to be seen or speak to a provider, please contact our office at 360.568.2686. We make time in provider schedules to see patients with urgent concerns briefly on the day of the call. If our offices are closed and you must reach the on-call provider regarding something urgent, please call the office and listen for the emergency phone number.

Our clinic bills all in-network insurance companies as a service. However, being contracted with an insurance company does not ensure your plan covers all services or providers at SNC. Prior to your appointment, please contact your insurance using the customer-care number on the back of your card to find out your level of coverage. We find it more empowering and informative for patients to contact carriers directly. Copays are due at the time of service. Balances over 90 days are subject to a 1% monthly fee, and over 180 days to collections. Returned checks incur a $25 charge. We are not contracted with Medicare and do not bill Medicare or Medicare supplemental plans.

A day-of-service discount for avoidance of billing and bookkeeping will be offered if charges are paid in full at the time services are rendered. Due to our insurance contracts, we cannot offer this discount once your insurance has been billed — so we cannot stress enough the importance of contacting your insurance well before your appointment.

Conventional labs are generally returned within 7–10 days. At your blood draw, a follow-up appointment will be made to review results. Blood draws are scheduled with our Medical Assistant; we send samples to Quest Diagnostics. You may view results at QuestDiagnostics.com/MyQuest. Specialty tests (food sensitivity, vitamin/nutrient, saliva hormone, DEXA) take 3–4 weeks. Kaiser patients must have blood drawn at Kaiser; if drawn at SNC, a $25 charge applies.

If a refill is needed, contact your pharmacy directly; they will fax us the request and we will fax back within 48–72 hours. Contact your pharmacy when you reach your last 7 days of medication. All patients need a re-evaluation appointment at least once a year, and labwork must be done yearly or with any dose change. When labwork or re-evaluation is due, we can only refill for 30 days. Yearly labwork requires a physician visit to order.

Since we provide primary care services, we can make a variety of referrals. Some referrals require an appointment with your doctor, especially for a new concern. We love your feedback — if a referral provider has been especially helpful (or not), we want to know! Contact our Practice Manager at 360.568.2686.

We believe access to your medical records is critical to coordinated, effective care. To release all or part of your record to you or another provider, completely fill out the Medical Records Release form and fax, mail, or bring it to us. Please allow up to 30 days. You will receive a copy of your specialty labs at your lab-results follow-up appointment.

EXOMIND uses BTL's proprietary ExoTMS® technology, an advanced form of Transcranial Magnetic Stimulation (TMS) that targets and stimulates specific brain regions to improve mental well-being. By delivering precisely calibrated magnetic pulses, ExoTMS® activates nerve cells in areas of the brain responsible for regulating mood. This stimulation helps restore activity in regions that may be underactive in those with depression, promoting emotional resilience and balancing neural functions. EXOMIND offers a non-invasive, drug-free solution to alleviate symptoms of depression and support overall mental wellness.

Each EXOMIND session lasts just 30 minutes. It is a comfortable, non-invasive procedure that allows you to relax while the brain stimulation works to enhance mood, clarity, and emotional well-being.

Insurance coverage for EXOMIND depends on your provider and individual healthcare plan. We recommend scheduling a consultation to review your coverage options and explore how EXOMIND can fit into your treatment plan.

Many patients report an improvement in mental clarity and emotional strength after just one session. However, a full treatment plan is typically required to experience the complete benefits. Results vary based on individual health, mental state, and response to treatment, with gradual improvements over time as your brain adjusts and strengthens.

Yes, the program we use is called Doxy.Me. It was developed specifically for doctors doing telemedicine and is 100% HIPAA and privacy compliant. For another level of safety, your doctor will ask you to show your I.D. to confirm who are before beginning the appointment and discussing your medical information.

You can use any smart device or computer with a camera and microphone. A few minutes before your appointment you will click on the link below that is for your particular doctor, enter your name when asked to do so and that will add you to your doctors virtual waiting room. At your appointment time, you'll see your doctor come on and your appointment will begin.

Yes! Telemedicine is recognized by insurance companies and will be billed as if you were in the clinic in person.

There is a Telemedicine Consent Form that you will need to sign PRIOR to your appointment. This will be sent to you in an encrypted email that you can e-sign right on our phone and then it will be automatically sent back to us with your signature.

Following your appointment, our receptionist will collect your check-out information from the doctor and then give you a call for your co-pay or appointment fee, to schedule a blood draw if needed and make your next appointment. Our receptionist will also go over any supplements that were recommended by your doctor, and can either take payment for those or discuss online ordering instead. We will be able to ship your supplements to you or schedule a pick up time that works best for you.

Inflammation can be caused by anything that triggers an immune system response: bacterial, viral, fungal or environmental…including the food we consume. If we eliminate the sources of inflammation we have control over (e.g.; food), we leave our immune systems better prepared to deal with those we don't have control over (e.g.; pollen). Inflammation can cause fatigue, pain, increased mucous production, tissue damage and other underlying symptoms.

Conventional medicine recommends the use of antihistamines and even steroids to deal with environmental allergies. For other health issues, any number of drugs may be prescribed, each targeting only the symptoms and not the cause of the problem. Often patients become dependent, suffer from side effects and may even see the deterioration of their overall health as a result of continual immune system suppression.

Food sensitivity symptoms are often delayed, and may present hours later or even the next day after consumption. The other issue is that many of the foods that cause reactions for many people are so commonly consumed (wheat, dairy, eggs) that it is difficult to connect the symptom with a particular food.

The most difficult way to determine sensitivities is to do a food elimination diet, whereby you eliminate many common sources of food allergens from your diet for a specified time, and then reintroduce them one by one and wait to see if symptoms develop. The easiest way to determine your food sensitivities is to undergo food allergy testing. This is done by testing your blood (through a blood draw or finger poke) for antibodies. We offer testing from two different laboratories and your choice in testing will depend on your food preferences, your specific concerns and provider recommendations. For more information about these two options and sample reports, click here.

When the immune system recognizes a foreign substance, it produces antibodies to fight off the allergens. IgG and IgE are two different types of antibodies produced in allergic reactions to food. IgE reactions are immediate and usually more severe, such as hives, swelling of the tongue and sudden diarrhea. IgG reactions are more common and more subtle and can result in many other delayed symptoms such as chronic pain, sinusitis, constipation, diarrhea, bloating, gas, fatigue and abdominal pain.

Please review this form carefully at least one week prior to your appointment, so that you can begin preparing for your exam days in advance. If you already have an appointment, please print and fill out required paperwork prior to your appointment.

• Appointment Preparation ↓
• Breast History ↓
• Thermascan Privacy Practices ↓

You will be given a color copy of your results at the time of your follow-up appointment to take home with you. Based on your results, your provider may recommend a treatment protocol to improve your breast health.

Synthetic hormones such as Prempro and Premarin are similar, but not identical, to the body's hormones and can lead to adverse reactions or long-term health risks. Synthetic hormones are only available in standard doses and cannot be tailored to fit individual patient needs. Because bio-identical hormones are physiologically identical they cannot be patented by pharmaceutical companies and must be compounded by the provider or pharmacy. We most commonly prescribe capsules, pellets or creams. To read more about BioTE Hormone Replacement Pellet Therapy click here.

When bio-identical hormones are dosed correctly to compensate for the individual's hormone deficiency, they are safe. While there are no large studies regarding the safety of bio-identical hormones over synthetic hormones, providers and pharmacists alike view bio-identical as a better alternative when hormone replacement is indicated.

As with every medication or supplement, the potential side effects of use versus the consequences of treatment refusal (in this case meaning continued hormone deficiency and associated risks) must be weighed. Use of estrogen (synthetic and bio-identical) is contraindicated for women with cancer. For any woman taking estrogen, it is important to balance it with progesterone, which offers some protection against breast cancer. Studies do show that Progesterone (bio-identical) reduces the risk of breast cancer while progestin (synthetic) increases the risk of breast cancer.

If you are considering BHRT (bio-identical hormone replacement therapy), we recommend that you review your personal risk factors for breast cancer (take the risk assessment test at www.cancer.gov/bcrisktool) and determine if the small increase in risk with the use of estrogens is worth the benefits.

Your symptom picture will give your doctor the first indication of possible hormone deficiencies. At Snohomish Naturopathic Clinic we use blood and/or saliva tests to evaluate your hormone levels. Estradiol, progesterone, DHEA-S, testosterone (free and total), cortisol, TSH, FT3, and FT4 are some of the hormones we test. Together with your physician you can decide which bio-identical hormones, herbal supplements and lifestyle changes would be most appropriate for your situation.

Testing is required yearly or anytime there is a dose change. Your need to be consistently on your dose (no missed doses or changes to your dose) for 2-3 weeks before testing.

It is important for you to make an appointment any time you feel like your symptoms have changed and your regimen is not working for you. At a minimum, we must see you in person every 9-12 months.

These hormones are available at compounding pharmacies. Compounding pharmacies specialize in preparing customized prescriptions. Chain pharmacies like Bartell's, Rite Aid and Walgreens are not compounding pharmacies. When choosing a compounding pharmacy, you may want to call the pharmacy and ask the following questions:

• Does this pharmacy bill insurance for compounds?
• Does this pharmacy offer competitive pricing?
• What type of customer service is offered?
• What are the mailing fees?

For various reasons, including stress and the natural aging process, testosterone levels may decline and result in the experience of symptoms such as fatigue, decreased libido and weight gain. Testosterone deficiencies can also affect decision-making ability, self confidence and feelings of security. We specialize in hormone replacement therapy for men to regain and maintain optimal health.

Known as "male menopause", men at mid-life are prone to a drop in hormone production just like their female counterparts. Symptoms of a mid-life decline in hormones are usually less recognizable among men than women, but significantly impact our health and functioning.

Testosterone injection therapy is the use of regularly scheduled injections to increase the body's own testosterone levels. The frequency of injections varies from weekly to monthly depending on your needs, and brief injection visits are scheduled with our Medical Assistant. You will have appointments with your doctor after the 6th injection, at 6 months and 12 months to discuss lab results and any needed changes to your treatment. We also offer BioTE Pellet Therapy as another option instead of injections.

Patients need bloodwork prior to beginning therapy to determine whether a testosterone deficiency exists and to establish a baseline for the various things we want to track: Total Testosterone, Free Testosterone, PSA, Estradiol and Cholesterol. Regardless of the results of your labs, your symptoms are actually the most important indication of whether and how well therapy is working for you.

Anytime you are working with hormone adjustment, there is the potential to have some spotting, breast tenderness or acne, but these symptoms can easily be addressed.

Decreased risk of stroke, cardiovascular disease, Alzheimer's, dementia, some forms of cancer, premature aging, bone loss and muscle loss.

Our doctors are BioTE Certified providers. Call to schedule an office visit to have one of our wonderful doctors test your current hormone levels. A comprehensive and thorough consultation, along with blood work, will determine if you are a candidate. Then a follow-up procedure appointment will be scheduled for your pellets to be inserted.

Yes, you will need to be a patient of one of our doctors before receiving any injections. If you are a current patient and don't have other health concerns to see a doctor regarding, we can schedule a brief 15 minute appointment for a doctor to look over your health history, discuss any allergies you may have and list the wanted injection as a prescription in your chart. If you are a new patient, we can schedule a brief new patient appointment for 30 minutes. This prescription would be good for one year.