Privacy Policy, Scope of Practice & Office Policies

Second Nature Naturopathic Care, LLC

Last updated: December 22, 2025

Website Privacy Policy

Second Nature Naturopathic Care, LLC respects your privacy.

This website does not collect medical or health information. The only personal information collected through this website is information you voluntarily provide, such as your email address when you sign up for the blog or contact us through a website form.

Any information you submit through this website is used solely for communication from Second Nature Naturopathic Care. This information is not sold, rented, or shared with third parties.

This website does not use analytics, tracking technologies, or advertising cookies.

Clinical Privacy & Communications

Once you become a patient of Second Nature Naturopathic Care, all medical and personal health information is handled in accordance with applicable federal and state privacy laws, including HIPAA, and in compliance with the scope of practice associated with the provider’s licensure in the state where care is delivered.

For security and privacy reasons, text messaging is not used for clinical communication. Patient communication may occur via secure verbal consultations, phone calls, or email, as appropriate.

Scope of Practice & Licensure

Isadora Guggenheim holds multiple professional licenses. Her scope of practice varies by state and is governed by the laws and regulations of each licensing authority.

Connecticut and Vermont

Dr. Guggenheim is licensed as a Naturopathic Doctor (ND).

New York State

In New York State, Dr. Guggenheim practices as a:

She is not licensed as a medical doctor (MD) in New York State.

New York State does not license naturopathic physicians. Any reference to naturopathic medicine does not apply to care provided in New York.

As a Family Nurse Practitioner in New York State, Dr. Guggenheim is authorized to:

All care is delivered in accordance with applicable state laws and professional regulations.

Office Policies

The following policies apply to all patients of Second Nature Naturopathic Care.

Consulting Fees

There is no consulting fee for clients who sign up for a minimum of three months of prescribed supplements.

Phone Consultations

Brief phone consultations for simple questions requiring only a few minutes are not charged. More complex consultations involving clinical decision-making are billed at the applicable rate.

Payment Policy

Payment for physician or other healthcare practitioner services, dispensary care, diagnostic tests, and all other items is required at the time services are rendered unless prior arrangements have been made.

If financial hardship may interfere with your ability to pay for services, please discuss this with the business manager before your initial visit. Every effort will be made to arrange a flexible payment schedule when appropriate.

Payment may be made by cash, check, or credit card.

Cancellation Policy

Cancellations for all appointments must be made at least 48 hours in advance of the scheduled appointment. Messages may be left at (845) 358-8385.

Appointments not canceled within this time frame will be charged 50% of the appointment fee.

Use of Website Content

The information provided on this website is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Viewing or using this website does not establish a provider-patient relationship. A provider-patient relationship is established only after appropriate intake, consent, and agreement to care.

Changes to This Policy

This page reflects current website practices and clinical operations. Policies may be updated periodically to reflect changes in services, technology, or legal requirements.