What is requested for the first visit:

If needed, ask your health care provider for an insurance referral. Other things to bring with you include:

  • Insurance card (as needed)
  • Three day food/beverage record
  • Labs if available (or ask the health care provider to fax to 207-363-8392)
  • Any copay required by your insurance (only cash or checks accepted); full payment if self-paying

What to expect at the first visit:

The first visit usually lasts about 1 hour. Pam will ask about your:

  • Medical history
  • Nutritional history
  • Physical activity history
  • Lab work
  • Emotional issues related to food intake as applicable
  • Medications/supplements
  • Caffeine, alcohol, tobacco use
  • Insurance coverage details

Together you will discuss:

  • Your goals/questions/concerns
  • Your health care provider’s goals for you if applicable
  • How your food intake compares to health recommendations
  • Short and long term goals you would like to work on
  • A plan of action

* Handout materials will be provided as applicable

Follow-up Appointments May Include:

  • Any changes you have made since the last appointment
  • Any obstacles that got in the way of you reaching some goals and ideas for addressing
  • Review of any updated lab work
  • Ideas for ongoing goals you would like to work towards
  • Additional handout materials as applicable

Follow-up appointments are usually 30 or 60 minutes long, and will be scheduled as you deem helpful.

Insurance Coverage

  • Pam will submit insurance claims to your insurance company
  • She is a provider for Anthem, Harvard Pilgrim, Cigna, Aetna, United Health Care; many other insurance companies will also reimburse
  • It is your responsibility to contact your insurance company to find out if nutrition counseling is a covered service and how many visits are allowed. You are responsible for any balances not paid by your insurance.

Other Office Policies

  • Insurance copay or self-pay fee are to be paid on the date of service
  • Rescheduling of appointments should be done at least 24 hours in advance or you will be charged a fee to cover fixed expenses


Information discussed at visits is held confidential and will only be shared through a progress note to the referring health care provider. For clients working with a therapist, information will only be shared if you sign a release to do so.