What can I expect on the first visit?

We’ll talk about what you want to work toward with your health and food goals.  We’ll explore your health history, relationship with certain foods, what foods you like and don’t like and what nutrition goals will work best for you. We’ll develop a wellness vision and get you started on that path.

“I did not know what a dietitian did or what to expect. I thought I would get a meal plan but this was not necessary for​ the work I did. In working with Natalie, I was able to get to the bottom of many of the myths I’ve been told about nutrition. It allowed me to challenge the list of rules I was placing on myself that lead to eliminating foods I once enjoyed. The permission to eat foods I enjoy helped decrease bingeing on them and targeted the shame cycle that was happening. Thank you.” -client SL

What do I need to bring to my first appointment?

Please bring your photo ID and insurance card if you’d like to use insurance.  Paperwork is electronic and can be filled out ahead of time. If you prefer paper copies, please arrive 30min early to complete paperwork.

How long do we meet?

Sessions are 50 minutes.

How often will we meet?

To get started, most clients do weekly appointments for about a month.  Each person is different though and we can discuss what works best for you and set up a plan in your first session.

Do you bill insurance?

Yes.  See the insurance page for more details.

How much does it cost if I'm paying out-of-pocket?

For the nutrition team, $120.
To see Kristen for therapy it’s $100, or sliding scale.

What if I'm embarrassed about how I eat?

We strive to provide a safe and non-judgmental environment for you to explore your food concerns. We won’t be labeling foods “good” or “bad”. In fact, my clients frequently report significantly reduced shame around food after working together.

Are you LBGTQIAP+ friendly?

Absolutely, we enjoy working with people of all genders, any sexual orientation, religious or cultural background.  

Will you collaborate with other medical providers?

Yes, we prefer to collaborate with your other providers to ensure you get the highest quality of care. Those struggling with eating disorders need a “team” which hopefully includes, a dietitian, therapist, and primary care provider. If you need help finding the support we can offer local referrals.

Will you talk to my family?

For clients under the age of 18 it will be important to have family involved with the first session and to touch base with them along the way.  For clients 18 and over it’s up to you how it may be helpful to include a partner, family member or roommate.

What happens if I need to reschedule or cancel?

Please give at least 2 business days notice to reschedule or cancel.  The late cancellation fee is $55. By scheduling an appointment, you are making a commitment not only to your health, but to your provider as well. We appreciate your consideration in this regard.  If there is inclement weather we will close the office if local schools are closed.

What is Health At Every Size (HAES)®

Health At Every Size (HAES)® is a weight-inclusive approach that respects body diversity, supports health from a holistic perspective (physical, psychological, emotional, social, relational, spiritual, etc), and works to end weight stigma & discrimination.

This movement recognizes that health is complex and that the pursuit of health is not a moral obligation, as well as the notion that health status should never be used to judge or oppress an individual. HAES® is rooted in a social justice framework and acknowledges the impact that shame, stigma, and oppression can have on health and well-being. The focus is shifted from weight control to supporting self-care practices that allow one to tap into their body’s inner wisdom. The HAES® principles include promoting flexible eating with respect to internal cues, and life-enhancing movement that supports physical activities for all sizes, abilities, and interests.

Read more about HAES® here:

Frequently Asked Questions

Are you nervous about your first visit?  No worries.  These questions might answer some of the concerns you might have.

Make an Appointment!

Are you ready to get started on your journey of freedom from diets? Would you like to make an appointment with one of our nutritionists or our therapist? Look through our team of providers and get started now!


About Me

Lynae Smith is the owner and founder of Ruby Health and Wellness. Her crusade is to empower people to embrace who they are, free from diets. She encourages all to tap into their inner strength and not base your self-image on size.

Ruby Health and Wellness