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Telehealth and Telemedicine are integrating mobile health into eHealth systems, reflecting a huge digital initiative within the healthcare industry. Telemedicine is gaining significant traction.

Healthcare providers need to acquire new skills, talent and technology that simplify patient care models and facilitate real-time patient engagement as they change from a fee-for-service to a value-based care model.



  • STEP 5: Schedule an appointment on the Appointment Scheduler or call the Connected Wellness office at 425-450-0100.
  • STEP 6: Follow instructions for payment if you are not covered by insurance, have not made previous arrangements or do not have a Membership.

Telehealth and telemedicine online consults will be conducted through the HIPPA compliant virtual conference room.

Healthcare systems are transitioning into a new model for addressing the cost of chronic disease in both health outcomes as well as financial terms for individuals and the health system overall.

According to the Centers for Disease Control and Prevention, 86% of healthcare spending in the US is on individuals with at least one chronic condition, and chronic diseases are the cause of 70% of deaths (Centers for Disease Control and Prevention. Chronic Disease Overview: Costs of Chronic Disease. Centers for Disease Control and Prevention website. Available at Accessed June 8, 2015).

It is estimated that up to a quarter of all emergency room visits in the US could have been handled by visits to less expensive care settings such as physician offices, clinics and urgent care centers. Shifting to a lower cost care center could result in savings of up to $4.4 billion annually (Weinick RM, Burns RM, Mehrotra A, Health Affairs. 2010;29(9):1630–1636.). Many preventable emergency room visits are related to ongoing chronic disease care

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Telemedicine and Telehealth two terms are used to mean the same things by many people. However, they are not exactly the same. Telehealth refers to all health-related services offered without the need for physical interaction of the service provider and the client. Telemedicine is a specialized part of telehealth that deals with clinical (patient care) services only.

Currently, 20 states, five Canadian provinces, the District of Columbia, and the US territories of Puerto Rico and the US Virgin Islands all have laws regulating naturopathic doctors (NDs). In these states and provinces, naturopathic doctors are required to graduate from a four-year, residential naturopathic medical school and pass an extensive postdoctoral board examination (NPLEX) in order to receive a license or registration.

Licensed naturopathic physicians must fulfill state- or province-mandated continuing education requirements annually and have a specific scope of practice defined by the law in their state or province.
Map of states that provide licensure for naturopathic doctors.


Dr. Turcotte provides telemedicine exclusively to patients who reside in Washington state  where she is currently licensed as an ND and Primary Care Physician and in Arizona, as an NMD aPrimary Care Physician.


Residents of all other states will have access to telehealth consults only under her PMA license PSc.D.*

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*Disclaimer: Practitioners of Pastoral Science & Medicine offer health improvement and counseling services based on a ministerial license issued by the Pastoral Medical Association (PMA). PMA licensees do not practice medicine. More specifically, they do not examine, diagnose or treat, or offer to treat or cure or attempt to cure, any mental or physical disease, disorder or illness, or any physical deformity or injury. Also, PMA licensees do not recommend or prescribe any medications or pharmaceutical drugs.