Some of these terms refer to a medical provider’s training, some of them refer to how the medical provider practices, and some refer to both.

Conventional and naturopathic refer to the training and practice of the physician. Both attend 4 year, accredited medical schools. Conventional providers are licensed physicians that earned a MD degree and practice traditional, pharmaceutical based medicine within the insurance model to alleviate symptoms of disease. Naturopathic providers are licensed physicians that earned a ND degree and practice with a variety of tools to heal the underlying cause of a patient’s illness, restore vitality, and prevent future illness. Some ND’s work within the insurance model and some are cash based.

Integrative is a term that can be used by any health care provider, conventional and naturopathic, and it typically means the provider sees themselves as part of a patient’s health care team that may include MD’s, ND’s, specialists, chiropractors, counselors, and other health and wellness providers. The provider also uses both pharmaceutical and holistic or natural tools in practice, depending on patient need.

Holistic or Natural are terms that can be used by any health care provider, and are generally used to describe the non-pharmaceutical tools the provider uses in practice. This can include dietary changes, nutritional supplements, energy work, botanical medicines, homeopathy, hydrotherapy and physical medicine.

Functional is a term that can be used by any health care provider, and refers to the philosophic and diagnostic approach to practicing medicine. Functional medicine practitioners use specialized labs to identify the biological source of dysfunction in the body organs, and prefer to treat with diet, nutrient, and lifestyle interventions.

Dr. Tremblay is a naturopathic physician by training. She practices integrative medicine, because her patients typically also see a MD and a specialist (such as an endocrinologist), and she wants her patients to know that she will respect their health care choices and communicate effectively with their other providers. Dr. Tremblay practices holistic medicine, because she is passionate about applying her specialized training in herbs, nutrients, and homeopathy to stimulate the body’s own healing response while reducing dependency on pharmaceutical medications. Dr. Tremblay practices functional medicine, because she believes it is a superior diagnostic technique for understanding the root cause of illness in the body, and that patient’s experience faster results and more complete healing when treatment is determined by exactly what is causing the illness in their body.

Dr. Tremblay can provide the best possible medical care by practicing as an out of network provider. The treatment of complex, long standing health conditions typically involves a greater commitment of time and energy by the practitioner to understand each unique patient, the cause of their illness, and outline a strategy for reclaiming vibrant health. 

The reimbursement amount for an out of network provider varies with each insurance company. It is recommended to call your insurance company and ask what is covered by your plan. While it can range from 0-85%, depending on the plan and the service provided, typical reimbursement is 50-65%. If you have a Health Savings Account (HSA) or Flexible Spending Account (FSA), you can also use these to cover the costs of an out of network provider, including naturopathic physicians.

Dr. Tremblay is an out of network provider with all insurance companies. When you schedule your visit, you will need to provide a credit, HSA, or FSA card number to reserve your appointment. Your card will be billed at the time of your appointment. After each in-office Naturopathic Care appointment, you will be provided with a receipt of service that includes the medical information needed for reimbursement by your insurance company. Virtual visits and Personal Consults are not eligible for insurance reimbursement.


If this is your first visit, make sure to finish your intake questionnaire at least 24 hours before your visit so the doctor has time to review. Before follow-up visits, take a few moments to jot down your questions, along with any changes in symptoms you have noticed. It is very common for patients to forget their questions, or to mention a change in symptoms, even when asked. Dr. Tremblay will ask at the beginning of each visit if you have things you want to make sure are discussed, and this is a good time to mention the notes you have jotted down. If recommended, fulfill lab requests within 1-3 days after your appointment to ensure results are available by your follow up visit. Schedule your follow up appointment promptly to stay on track with your healing plan and reserve your visit time.

here is no fee for appointments cancelled with minimum 24 hours notice using the online scheduling service or by phone.  Appointments cancelled with less than 24 hours notice will be billed a $50 cancellation fee. No shows without cancellation notice will be billed a $100 fee.