Integrative Care Scope & Boundaries
Clear scope and boundaries are a way towards ethical, effective medical care. They support safety, trust, and shared expectations.
What this care offers
Integrative Nurse Practitioner care here is licensed medical care focused on whole-person understanding, thoughtful assessment, and sustainable change over time.
This work may include:
a comprehensive medical history and review of your current concerns
lifestyle and systems-based assessment (sleep, nutrition, stress, movement, environment, and patterns over time)
review and interpretation of relevant labs, imaging, and medical records
clinical recommendations within NP scope, introduced thoughtfully and proportionally
coordination with your existing care team when helpful and with your permission
referrals for evaluation or care outside this scope when appropriate
Care is collaborative and intentionally paced. Decisions are made together, with attention to safety, fit, and your capacity.
What this care does not offer
To remain responsible and within scope, this practice does not offer:
primary care or full-spectrum ongoing medical management
urgent, emergency, or crisis medical care
after-hours or on-call services
inpatient or hospital-based services
rapid, protocol-driven care or “one-size-fits-all” plans
performance optimization, longevity medicine, or biohacking
comprehensive psychiatric medication management
If you are experiencing an urgent medical concern or emergency, please seek immediate care (urgent care / ER) or call emergency services.
Relationship to counseling and spiritual care
Integrative wellbeing care is offered as a distinct medical pathway. It is not combined with counseling or spiritual direction within the same visits.
If you are also working with other supports — such as a therapist, counselor, or spiritual director — we can talk about how those supports fit alongside your medical care, if that feels helpful to you.
Collaboration and referrals
This practice works alongside other clinicians.
When helpful, I may recommend:
additional evaluation, testing, or specialty care
a referral to another provider
collaboration with your existing primary care or specialists, with your permission
Referrals and collaboration are signs of thoughtful medical care and professional integrity.
Your role in care
Healthcare here is collaborative.
You are encouraged to:
ask questions
share concerns and preferences
participate actively in decisions
I bring clinical training, medical reasoning, and perspective. You bring lived experience, values, and insight into your body. Both are essential.
Next steps
If you’re interested in integrative medical care and would like to explore whether this approach fits your needs, an initial conversation can help clarify that together.