New Patient Application

New Patient Application

We're honored that you're here!
Before you apply, please take note of the following:
- Because our discovery calls are complimentary, we kindly ask that you only apply if you are sincerely interested in our 1-on-1 services.
- Our 1-on-1 clinic programs start at $7,500 and monthly payment plans are available.
- If this investment feels like too much right now, we also offer our 8-week Body Bliss program for $1,997 which helps you get similar results as if you'd worked with us 1-on-1.
- Our clinic does not bill insurance, but we do accept HSA and FSA cards.
- Our providers are naturopathic doctors (NDs) who are registered in the State of Colorado. Therefore, we do not prescribe any medications, but we are able to safely incorporate natural therapies along with any medications you're currently taking.
- Due to regulations, we are not able to accept patients from Alabama, South Carolina, New York, or Tennessee. If you live in one of these states, consider joining our 8-week Body Bliss program.
- Due to state regulations, we do not work with children under the age of 2 years.
- We are not currently accepting clients who live outside of the United States.
- Please note that we do not treat active cancer, traumatic brain injury, major depressive disorder, bipolar disorder, schizophrenia, or dementia. These conditions require highly-specialized treatment.
Applicant Information
Your Name*

First NameLast Name
Are you applying for yourself or on behalf of your child or teen?*

For myselfFor my child or teen
Name of your child or teen (if applicable)

First NameLast Name
Age (please give the age of your child or teen if you are applying on their behalf)*
Phone Number (where it's okay for us to leave a message)*
Please make sure your phone number is entered correctly!
Please confirm your phone number:
Please enter a valid phone number.
Email*
example@example.com
Please confirm that you live in the United States.*

Yes, I live in the United States
In what state do you live? (*Note that we are unable to accept patients from Alabama, New York, and South Carolina, and Tennessee due to regulations in those states*)*
How did you first hear about Attune Functional Medicine?*

Online search for functional medicineOnline search for naturopathic doctorBrochure or postcardFriend or family memberYouTubeOther
Please briefly describe your main symptoms and health concerns:*
What treatments or approaches have you already tried, and what were the results?
What are your biggest fears, worries or disappointments related to your health issues?
Do you have any doubts about your ability to heal? If so, please briefly explain.
How ready and willing are you to do whatever it takes to improve your health? (This may include things like changing your diet, swapping out your personal care products, managing stress, remediating your home for mold, and making lifestyle changes.)
Let's Talk Details:

Our Health Transformation Programs start from $7,500 - $10,500 over a 6-12 month period. Monthly payment plans are available.

This is not a contract; we just ask that you commit to getting well, which takes time.

The program includes all of your personal 1-on-1 sessions, essential lab testing, a comprehensive review of your previous health records, plus you’ll have access to your doctor between your scheduled appointments so you’ll always feel supported. You will also receive nutritional guidance and other tools and resources tailored to you.

Any additional lab testing the doctor recommends and your personalized supplements will be at an additional cost to the package and discussed with you as required.

By offering this program as a comprehensive package, we are able to offer you the highest level of support to ensure you will see a dramatic change in your health as you successfully integrate our recommendations.

If we are a good fit to work together, are you able to make this investment in yourself?

(By saying "yes" below, you are simply acknowledging that you are aware of our pricing structure and what it would look like to move forward. You are not obligated to pay for anything or book any appointments by completing this application.)
Yes, I am aware of the pricing and I'm able to make this investment if I decide to move forward and become a patient.
If we are the right fit to work together, how soon would you like to schedule your first visit with Attune?*

As soon as possibleWithin the next few monthsNot sure - I'm still exploring other options
Please review the following acknowledgments:
I understand that submitting this application does NOT establish a formal doctor-patient or provider-client relationship between myself (or my child) and Attune Functional Medicine.

Agree
I am aware that Attune does not bill insurance, and that the 1-on-1 programs start at $7,500.*

Agree
I give Attune Functional Medicine permission to send me emails related to this inquiry. I understand that I can unsubscribe at any time.*

Agree
Thank you for applying! Is there anything else you'd like to share?
Should be Empty:

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New Patient Application

Applicant Information

Please review the following acknowledgments: