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New Patients

If you are ready to take the next step, this page will walk you through everything you need to know before filling out and submitting the new patient intake & screening form, including how appointments are structured, fees, and what to expect as a new patient. If you have questions not covered here, please don’t hesitate to reach out.

Getting started

  • Complete the new patient intake form to get started. Dr. Strelyuk will review your information and respond with next steps.

Scope of care

  • Dr. Strelyuk is licensed to practice naturopathic medicine in Arizona, California, Idaho, and Washington.

  • No, my practice is 100% virtual.

    All appointments are conducted virtually via a HIPAA compliant telemedicine platform called doxy.me. The process is designed to be simple and accessible, even if you have not used telemedicine before.

  • Prescribing authority varies by states.

    In California, Dr. Strelyuk’s prescribing scope is limited to hormones, including estrogen, progesterone, and thyroid medications.

    In Arizona, Idaho, and Washington, Dr. Strelyuk has a broader prescribing scope.

    If you have questions about prescribing in your state, please feel to reach out.

What to expect in care

  • New patient appointments are scheduled for 120 minutes, structures as follows: an initial 30-minute consultation, 60 minutes Autonomic Response Testing (ART), and a closing 30-minute consultation to review findings and discuss next steps. Patients have the option to extend by an additional 30 minutes if they feel they need more time to address their concerns or have more questions.

  • Follow-up appointments are typically scheduled for 90 minutes: a 15-minute opening consultation, 60 minutes of Autonomic Response Testing (ART), and a 15-minute closing consultation to review findings and discuss next steps. Patients have the option to extend by an additional 30 minutes if they feel they need more time to address their concerns or have more questions.

    The shortest appointment option is 30 minutes, available for lab review, follow-up questions, or additional support between longer appointments. ART is not included in this appointment type.

  • Typically every 4-6 weeks initially, depending on the case. As your system becomes more balanced and stable, time between follow-ups gradually extends.

    Chronic illness is rarely the result of a single cause. It takes time and intention to unravel the layers and root imbalances.

Testing and labs

  • To make the most of your first appointment, please ensure the following lab work is as current as possible and no older than 3 months:

    • Complete Blood Count (CBC) with differential and platelets

    • Comprehensive Metabolic Panel (CMP)

    • Lipid panel

    • Thyroid panel (TSH, fT3, fT4, rT3)

    • Iron, TIBC, and ferritin

    • Hemoglobin A1c

    • Homocysteine

    • hsCRP

    • Vitamin D (25-OH and 1,25-OH)

    • RBC zinc

    • Antidiuretic Hormone (ADH)

    • G6PD)

    If you do not have recent bloodwork, we can discuss this at your first appointment and order any necessary labs at that time.

    Cash-pay options are available through Rupa Health or Fullscript for patients who are uninsured or for those who prefer to pay out of pocket.

Fees and insurance

  • My fee is $300 per hour (60 minutes), billed in 15-minutes increments. Billing is based on time used, not scheduled.

    Appointments do not include the cost of recommended laboratory testing or treatments, such as supplements or medications.

    Time spent outside of scheduled appointments — such as lab review, charting, or letter writing — is billed at the same hourly rate and will be discussed in advance.

    Payment is due in full at the time of service.

  • I am not contracted with any insurance companies and am considered an “out-of-network” provider.

    A superbill can be provided upon request for you to submit to your insurance. Reimbursement varies by plan and is not guaranteed.

    Superbills cannot be modified after they are issued.

Policies

  • All appointments require a minimum of 24 business hours notice to cancel or reschedule.

    Late cancellations — cancellations made with less than 24 business hours notice will be charged 50% of the appointment fee.

    No-shows — if you do not cancel in advance and miss your appointment, or are more than 15 minutes late without notifying the office, the appointment will be considered a no-show and charged 100% of the appointment fee.

    Running late — if you are more than 15 minutes past your scheduled appointment time, your appointment may need to be rescheduled and the 50% late cancellation fee will apply.

    To cancel or reschedule, please message Dr. Strelyuk through your ChARM patient portal.

If this feels aligned, you can begin here.

Become a Patient