# Scarborough Integrative Health
Scarborough Integrative Health is an integrative medical center located in Scarborough, Maine, with an additional office in Portsmouth, New Hampshire. The clinic specializes in chronic disease management under the leadership of ILADS-trained physicians Dr. Jacob Aguiar and Dr. Steven Zarembka, who bring expertise in evidence-based integrative medicine. The clinic takes a comprehensive, whole-patient approach to healthcare, offering integrative care services designed to address the root causes of illness rather than merely treating symptoms.
The clinic provides specialized services across multiple health domains, including gastrointestinal health, cardiovascular health, endocrine health, and tick-borne illness management. Notably, Scarborough Integrative Health maintains a dedicated focus on complex post-infectious conditions, offering a specialized Long-Haul COVID clinic and expertise in PANDAS and PANS (pediatric autoimmune neuropsychiatric disorders). The clinic also provides acute care services for tick-related illnesses, recognizing the prevalence of tick-borne conditions in the New England region. This breadth of services reflects the clinic's commitment to treating the entire family across various health concerns and age groups.
Scarborough Integrative Health operates on a direct-pay model and does not accept insurance, allowing the practitioners to focus entirely on patient care without insurance-related constraints. The clinic maintains flexible scheduling with Dr. Zarembka available Monday through Thursday and Dr. Aguiar available Tuesday and Wednesday, with same-day acute appointments available for urgent tick-bite evaluations and treatment.