FAQ

Dr. Marina’s rates:

ND = $240 per hour or $60 per 15-minute increment

Acupuncture= $175 per 75 minute session. Package’s available: 5 sessions for $670 or 10 sessions for $1,250.

Dr. Derksen’s rate = $400 per hour or $100 per 15-minute increment

Additional treatments like injections, LDA/LDI, and IV therapy during office visits are additional.

Please note that your visit starts when your provider begins reviewing your labs, chart notes, and other documents — before bringing you into their office. If you need to keep your visit to a certain length of time, let your provider know up front. You’ll only be billed for the time that you use, not the time you’re scheduled for.

The average new patient office visit and treatment cost is $600-1200, including supplements for your first month of treatment and neural therapy, if required. The average new patient appointment is 2 hours.

We require a credit card on file to schedule an appointment. We accept all major credit cards, cash (in office), or checks (in office). HSA cards with major credit card logos are also accepted but require a secondary payment on file.

Payment is due and processed at the time of service. Services and supplement orders will be processed automatically using the credit card on file.

All returned checks are subject to a $35 NSF fee.

We are not contracted with any insurance companies. But we always provide you with a superbill to submit to your insurance for possible out-of-network benefits.

We have an Insurance Worksheet available to help you navigate your benefits. You can download this form here.

When discussing your benefits with your insurance provider, it’s important to communicate that your HHA provider is an “Out of Network” Doctor of Naturopathic Medicine (ND) who does not contract with insurance. Some carriers may require a "modifier" to be added to a superbill or for office visits to be invoiced separately from supplements, etc. If so, you will need to communicate this directly to your provider during your appointment.

We use a wide range of treatments and tailor them to each patients’ specific needs. Each person’s treatment plan is unique but may include:

Neural therapy
Ozone therapy
LDA/LDI
IV therapy
Detoxification therapies
Injections
Peptide therapy
Pharmaceuticals
Herbal medicine and custom formulations
Homeopathy
Gemmotherapy
Nutritional supplementation

Visit our Services page for more information.

We no longer have an after hours phone, however you can always message medical questions through Charm and it will be addressed as soon as we are back in the office, prioritized on urgency. If you are experiencing a medical emergency please call 911 or visit an urgent care.

Any acute care concerns may be addressed by calling the acute care line at (425) 582-7678.

We require that all cancer patients are under the care of a cancer care specialist.

We offer treatments to help support your body during cancer treatment, including IV and detox therapies.

We can also help you tolerate your cancer treatments and assist you in supporting your immune system. Your treatments will be individualized to your unique circumstances and needs.

That depends on the severity of your symptoms. Individuals react differently to treatments depending on their history, body’s tolerance, and typical reactivity response.

Any very concerning symptoms should be addressed immediately by going to your nearest emergency room or urgent care center. Otherwise, you may contact the acute care phone line at (425) 582-7678. Less urgent concerns may be addressed by messaging “Medical Questions” through your ChARM patient portal.

Don’t forget to use all the supportive therapies suggested by your provider, including binders, Epsom salt baths, and other detox supports. These can often go a long way in helping to manage symptoms. Your HHA provider will include suggestions to assist in managing symptoms.

Please ask your pharmacy to fax us a “refill request.” Your provider will either sign off on it or give our team further instruction on getting you scheduled for an appointment.

Please note, a change of medication, change of dosage, or running out of refills will require an appointment.

Our fax number is (425) 582-7032.

Yes, but this needs to be discussed during an appointment. Please schedule a follow-up appointment to go over your lab results so your provider can make any adjustments needed to your treatment plan.

Possibly. For established patients, we have short-term availability with our nurse practitioner to address acute symptoms.

You can receive care in one of the following ways:

1. Call or message our ‘Scheduling’ department to ask about availability.

2. Call the HHA on-call phone if after hours.

3. Visit your primary care provider.

4. Go to your nearest urgent care or ER.

Yes, but only if they’re already an established patient. If not, they would need to complete the New Patient process. Visit the New Patient page to learn more.

Unfortunately not. Due to time limitations and the prep time needed, your doctor will only be able to consult with the person scheduled for the appointment.

You can request a shortened appointment time with Appointment Scheduling. Keep in mind that your provider must approve shortened appointments prior to scheduling.

Prescription refill requests can only be made during an appointment. We recommend checking your prescriptions before each appointment. During your appointment, please discuss the refill with your doctor.

There are several ways to order supplements:

1. Purchase them before you leave your in-office appointment.

2. Fill out the order form on the Dispensary page.

3. Send a ChARM message to “Dispensary” listing the supplements and quantities you need.

4. Call (425) 582-7678 and press “4” to place an order with the Dispensary.

Yes. We treat many patients navigating sensitivities like this and are happy to work with you to find remedies and treatments that work for your situation.

Yes. We have treatments available specifically for chemical sensitivity and have treated many patients with this condition. Much of our training with the American Academy of Environmental Medicine is specifically for patients with MCS.

We’ve found that dental issues are often overlooked in conventional medicine. Chronic dental infections can be associated with symptoms that present throughout the body.

A history of root canals, cavitations, and amalgams should be considered when treating complex chronic illness. We work with local biological dentists who are trained in less toxic methods of treatment.

We recommend preparing your body for upcoming dental procedures. We can do several biocompatibility tests to ensure you are using materials that are synergistic with your body.

Some people notice significant improvement on their very first visit. Others can take much longer to notice improvement depending on how many layers of imbalance need to be addressed.

It’s not uncommon for some patients to feel a little worse before they feel better. This is generally a result of toxins being released as we begin to address pathogens in the body.

We continue to work with you to ensure your body is able to detox properly and handle the changes being made.