Patient Portal

E-Mail (619) 345-3111

Medical Visits

Services:

  • Adult Visits
  • Phone & Video Consults
  • Well Woman Exams
  • Pediatric Visits & Vaccine Consults
Adult Visits
  • These visits involve a comprehensive and collaborative approach to establish health goals, address challenges, and discover the root causes to your health concerns. We discuss your current symptoms, past and family medical history, perform exams, and gather lab information in order to put all of the puzzle pieces together and see a full picture of your health. With so much information on the web, it can be overwhelming and contradictory. Let us help by taking out the guesswork and connecting the dots between your symptoms and real solutions for YOU.
  • We offer expanded and detailed visits, based on time and complexity. 
  • Expanded follow-up visits are between 30-45 minutes long. Detailed follow-up visits are between 15-30 minutes.  This includes the visit and any lab or prescription orders.
  • For quick messages or questions in between follow-up visits, we do offer limited brief appointments.  This can be in-person, on video chat or on the phone for 5-15 minutes. This allows time for your doctor to review your chart and fully answer your question in-between your follow-up appointments. Reading and responding to long messages takes us away from our scheduled patients so thank you for understanding and agreeing to our messaging policy.
Phone and Video Consults
  • For our established patients, we offer phone and video consults so that you can continue care out of the comfort and convenience of your home or office. Click HERE for your scheduled video consult. Video consults work best on Chrome or Firefox browsers.
Well Woman Exams
  • It is important to us that we can provide you with a comfortable and caring environment for screening female exams. This includes breast and Pap exams with HPV and/or STI testing. This is also a space where you can ask us questions about relationships or any of those fun (or embarrassing) questions.
Pediatric Visits

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  • We’re happy to work with the youngest members of your family. This is a great time to become proactive with your family’s health.
  • Our Nourish doctors can complement your pediatric care, provide natural solutions, and support you with education about your baby or child’s optimal health.
Vaccine Consult
  • Offering in-person or virtual consults with Dr. Natiya or click HERE for Dr. Roumell's online vaccine course.
  • We are here to help you navigate your options and empower you with knowledge to make the best choices for your child.
  • Overview of each vaccine reviewing risks and benefits
  • Optimal vaccine options
  • Pre and post vaccine detox plan
  • Options for alternative schedules
Treatment may include:
  • Homeopathy
  • Nutritional Medicine
  • Herbal Medicine
  • Mind Body Medicine
  • Nutrition IVs and Vitamin Shots
  • Bioidentical Hormone Replacement Therapy
  • Pharmaceuticals
  • Sublingual Immunotherapy (SLIT)  Allergy Treatments
  • Health and Life Coaching
  • Platelet Rich Plasma (PRP), Alpha 2 Macroglobulin (A2M), Prolotherapy and Exosomes
  • Food recommendations
  • Lifestyle modifications and goal setting
  • Supplementation recommendations
  • Vitamins
  • Homeopathy
  • Herbs
  • Hormone replacement therapy
  • Pharmaceutical prescriptions, if necessary, or guidance how to wean off current medications
  • And more.

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Questions/Answers

What to Expect Before My MEDICAL VISIT?
  • Complete the intake and consent form which will be sent to you via email. Complete 24hrs prior to appointment.
  • Bring any previous labs for your first appointment.
  • Bring any supplements or medication with you.
What to Expect During My MEDICAL VISIT?
  • Your doctor will discuss and record any current concerns that you are experiencing.
  • A physical exam may be completed during your initial visit and related to any pertinent symptoms you are experiencing
  • Ask any questions regarding your health and future plans
  • Imaging recommendations may be made and a treatment plan will be reviewed and printed at the end of your visit
What to Expect After My MEDICAL VISIT?
  • Schedule your follow up and all imaging/lab appointments as necessary.
  • Follow your treatment plan and recommendations.
  • Contact the office with any questions or concerns you may have, we are here to help.
What to Expect Before My PHONE Consult?
  • Consent and intake forms will be sent electronically via email for completion.
  • Upload any previous lab work and imaging into your patient portal
  • Update any allergies, medications and supplements that you are currently taking.
  • Double check appointment time and adjust according to your time zone if out of California (PST).
What to Expect During My PHONE Consult?
  • Your doctor will call you at your allotted appointment time. Be sure that there is good cell service at your location.
  • If you are disconnected for more than 5 min please call the office.
  • Current and past concerns will be discussed and if you have any questions feel free to ask.
  • You may be referred to your primary care doctor for physical examinations, screening tests and diagnostic procedures.
  • A treatment plan will be created and reviewed before the end of your appointment.
  • Lab/supplements will either be mailed to you or a recommended site given to meet your needs.
What to Expect After My PHONE Consult?
  • Schedule any follow up appointments, Lab testing and diagnostic procedures as recommended.
  • Contact the office with any questions you may have, we are here to help
What to Expect Before My VIDEO Consult?
  • Consent and intake forms will be sent electronically via email for completion.
  • Upload any previous lab work and imaging into your patient portal
  • Update any allergies, medications and supplements that you are currently taking.
  • Double check appointment time and adjust according to your time zone. (if out of California, PST).
What to Expect During My VIDEO Consult?
  • Be sure there is great internet connectivity and that you are in a location that is private.
  • Sign in to Doxy (our online video service) in order to connect with your doctor. Accept the request to video call when sent.
  • If you are disconnected for more than 5 min without a call back please send a message via doxy or call the office.
  • During this appointment, your doctor will recommend necessary labs to order, if he or she feels they are important in the overall treatment.
  • You may be referred to your primary care doctor for physical examinations, screening tests and diagnostic procedures.
  • A treatment plan will be created and reviewed before the end of your appointment.
What to Expect After My VIDEO Consult?
  • Schedule any follow up appointments, Lab testing and diagnostic procedures as recommended.
  • Contact the office with any questions you may have, we are here to help
What to Expect Before My NEW PEDIATRIC Visit?
  • An intake and consent form will be sent to you via email. Please complete both forms 24 hours before your appointment so your doctor can review your information in time for your appointment.
  • Please be prepared to bring any past medical labs to your first appointment, or upload to your patient portal.
  • Please be prepared to bring any supplements or medications your child is currently taking for the doctor to review at your first appointment.
What to Expect During My NEW PEDIATRIC Visit?
  • Time is set aside for your one to one appointment with your doctor to review your child’s current concerns, past medical concerns and to answer any pressing questions.
  • During this appointment, your doctor will recommend necessary labs to order, if he or she feels they are important in the overall treatment of your child.
  • A physical exam may be conducted based on your child’s concerns.
  • You can expect to review your child’s current supplement and medication list along with leave with a plan to ensure your child is taking the highest quality, most effective treatments to not only help with current symptoms but also to help prevent future disease.
What to Expect After My NEW PEDIATRIC Visit?
  • Follow up appointments are often necessary in order to ensure your goals for your child’s health are met.
  • We ask you to please note any changes in your child’s symptoms, or if any new symptoms arise, in between appointments.
  • You are welcome to contact our office if you need support in between follow up appointments. We are here to help.
What to Expect Before My FOLLOW-UP PEDIATRIC Visit?
  • Collect any notes you made in between appointments that track your child’s progress or if he or she has experienced any new symptoms you would like to discuss at your follow up appointment.
  • Gather any questions you have for your doctor so all of your questions can be answered.
What to Expect During My FOLLOW-UP PEDIATRIC Visit?
  • Your doctor will want to learn how your child is doing since the last time you met.
  • Your doctor will review the recommended treatment plan to ensure you have been able to follow it and that you don’t have any questions if continued treatment in necessary.
  • Based on how your child is doing, further modifications of your original treatment plan may be made in order to provide continued improvement with your child’s symptoms.
  • Any and all questions will be answered during ongoing appointments. The goal is to help relieve current symptoms your child may be experiencing, along with provide long term care to optimize health and prevent long term illness.
What to Expect After My FOLLOW-UP PEDIATRIC Visit?
  • We ask you to please note any changes in your child’s symptoms, or if any new symptoms arise, in between appointments.
  • You are welcome to contact our office if you need support in between follow up appointments. We are here to help.
What to Expect Before My Vaccine Consult?
  • An intake and consent form will be sent to you via email. Please complete both forms 24 hours before your appointment so your doctor can review your information in time for your appointment.
  • Please be prepared to bring your child’s immunization record to your first appointment, or upload to your patient portal.
  • Please be prepared to bring any supplements or medications your child is currently taking for the doctor to review at your first appointment.
What to Expect During My Vaccine Consult?
  • During your one to one appointment with your doctor, you will have the opportunity to share your questions and any concerns regarding vaccines.
  • You can expect to receive an educational handout that your doctor will review in depth during your appointment so you can feel confident with the information to make informed choices.
  • You can expect to feel supported and guided by your doctor to create a plan that works for your individual child.
What to Expect After My Vaccine Consult?
  • After your appointment, the goal is that you feel well informed to make vaccine choices for your child and feel more empowered.
  • If you choose to vaccinate, you will have a pre and post vaccine plan prescribed by your doctor that you can order on our online store Fullscript. You will feel confident with how to administer to your child for best vaccine outcomes.
  • You may need a follow up session with your doctor in order to create a plan, if you chose to vaccine, or if you warrant a medical exemption you will need another follow up as well.

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Nourish Medical Center

Nourish Medical Center
10505 Sorrento Valley Road, Suite 225
San Diego CA 92121
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MEDICAL DISCLAIMER
All material on this website is provided for information and educational purposes only. It is not intended as a substitute for the advice provided by your healthcare professional or physician.