WHAT DO I EXPECT AT AN APPOINTMENT?

At our first appointment, we will go over lifestyle and diet history. What do you currently eat like, what are your like and dislikes, what is your overall medical history, and how is your current digestion. Then we talk about some overall goals and define some concrete steps to reach them. At each follow up appointment, we go over what has been going well and what obstacles you might be facing. We can also go over labwork ordered by your physician, weight trends, and options for physical activity.

WILL DIET CURE MY ILLNESS?

In most cases, no. However, what diet and lifestyle changes can do is put you in “symptom remission” which is a fancy way of saying: your illness will impact your daily life less. In many cases, the number of medications and dosage of medications can be decreased through lifestyle changes.

WHAT IS THE GOAL OF DIETARY COUNSELING?

The field of dietetics focuses on how the food we eat influences the way our body works and our health. In many ways this means a focus on prevention and improving quality of life. In many ways, it also means addressing gastrointestinal symptoms you may be having or symptoms from other illnesses and trying to improve them through food and activity changes.

DOES DIETARY COUNSELING MEAN I CANNOT EAT MY FAVORITE FOODS?

NO! In more than 90% of cases, NO FOOD IS BANNED. A large part of life is about enjoyment. We have no desire to relieve your symptoms while taking away something you enjoy.

WHO DO YOU WORK WITH?

Anyone! I counsel anyone from birth through pregnancy and on to their golden years. I have experience seeing clients with goals ranging from weight loss, to better athletic performance, to chronic illness, to acute illness, diabetes, renal disease, thyroid issues, and everyone in between. I also love working with individuals and families who wish to maintain their health and those who wish to prevent lifestyle and chronic illness that tends to run in their family.

What conditions do you see?

Anyone!

I offer health and life coaching in addition to dietitian services that work for absolutely anyone!

I offer Nutrition Counseling / Medical Nutrition Therapy to those with conditions insurance covers, including:

  • My Specialties

    • Crohn’s Disease, Ulcerative Colitis (UC), Indeterminate Inflammatory Bowel Disease (IBD)

    • Irritable Bowel Syndrome (IBS), Small Intestine Bacterial Overgrowth (SIBO), Functional Dyspepsia (FP)

    • Celiac Disease, gluten intolerance, gluten sensitivity

    • Mental health concerns: bipolar, major depression, irritability, anxiety

    • Hypothyroidism/Hashimoto’s disease

  • Other Conditions

    • Heart Disease, Hypertension, High Cholesterol nutrition

    • Cancer nutrition·

    • Chronic Illness Prevention

    • Fibromyalgia, MS, Autoimmune nutrition

    • Pre-Diabetes, Diabetes Mellitus Type I and II

    • Hepatic and Renal Disease nutrition

    • Infertility, endometriosis, PCOS concerns and pregnancy over 35

    • Pregnancy nutrition including pre-existing diabetes, GDM, preeclampsia, pre-existing high blood pressure

    • Child and teen

    • Vegan, vegetarian, flexitarian

    • Restrictive diets

    • Ketogenic diet for cancer, diabetes, weight loss, epilepsy

    • Weight loss

What is your payment policy for Medical Nutrition Therapy?

We are accept cash, check, debit and credit cards, as well as Aetna, Cigna, LifeWise, First Choice Health (Kaiser), Molina Marketplace, Premera, Regence and United Healthcare.

No insurance, no problem. We offer sliding scale payments for medical nutrition therapy as well. We are NOT in network with Medicare. Medicaid does not cover nutrition therapy without a referral and prior authorization, so most patients are out of pocket at a reduced rate.

We can also help you submit a reimbursement claim with any insurance company, not just the insurances we are contracted with. Payment would need to be made up front and your insurance company would reimburse you directly. If you do not have one of the insurances listed above, please download this form and bring it to your appointment with us. You will be required to pay up front and get a reimbursement from your insurance.

Please call your insurance company to ask about your specific MNT or nutrition counseling benefits. If your insurance requires a referral, please download and take this form to your physician and return it to us before your scheduled appointment time.

*Cancellation: We do charge a $50 no-show fee for all missed appointments and a late cancellation fee of $30 for all appointments cancelled within 48 hours. By making an appointment, you agree for your card on file to be charged in the event of a late cancellation or no show fee.
 

What is your pricing scheme for Health Coaching?

We offer free 15 minute consultations to see if dietitian services or life coaching is right for you.

We offer individual and family appointments, as well as several price saving packages. An initial first appointment starts at $180 with each hour long follow-up starting at $140 for self pay. Please call for up to date information, as pricing may change.

 

Where are you located?

We offer telehealth appointments and appointments at our Clearview office (18122 SR 9 SE, Suite D, Snohomish WA, 98296). We also do select home visits for those who cannot leave their house or apartment and cannot do a video conference.

We are located at 18122 SR 9 SE, Suite D, Snohomish WA 98258 Go South on Highway 9 past 180th St.

Turn right immediately past the Ixtapa Restaurant. We are located in the lower level of the brown office building. Drive past the building and park in the lot on your left. Arriving and entering at the back of the building allows for easier access to our suite. We are in the double glass doors, first office on the right (Clearview Acupuncture and Herbal Medicine). You will see my card on the door. Come on in and have a seat in the lobby.

If you park at the top level (road level) of the building, you will need to use the exterior concrete steps located to your right to go down to the lower level outside and come in the double glass doors in the corner.

For more information, please call us at 425-422-6895 or email us at ShelbyErinRDN@gmail.com
 

Any other questions?

Please use the contact form or email us directly at ShelbyErinRDN@gmail.com or call 425-422-6895. Make an appointment for our Clearview office or for telehealth here.

*Please direct all questions and appointment inquiries for Flourish Family Medicine to shelbyrdn@flourishfamilymedicine.com or call 425-286-8803