Step 1/5
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 are based on a total program fee and monthly payment plans are available. We offer special rates for active military, veterans, public servants, and full-time college or graduate students.
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.
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.
Step 2/5
Applicant Details
First Name
Last Name
Name of your child or teen (if applicable)
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 in the correct format xxx-xxx-xxxx
Please confirm your phone number
Please make sure your phone number is entered in the correct format xxx-xxx-xxxx
Email
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)
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Dakota
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
If you were referred by a friend or family member, please share their name
Step 3/5
Share information about the Applicant's Health Concerns
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.)
Step 4/5
Our Programs – Some Basics
Our Health Transformation Programs start from $7,500 - $10,500 over a 6-12 month period. Monthly payment plans are available and we offer special rates for active military, veterans, public servants, and full-time college or graduate students.
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 reply "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.)
Step 5/5
Please review the following acknowledgments:
Thank you for applying! Is there anything else you'd like to share?
Consent
By checking the box below, I confirm that I have read, consent and agree to Aura Functional Medicine's Privacy Policy, and I am of legal age. I hereby consent to share the information provided on this form for the purpose of allowing Aura Functional Medicine to determine whether they would be a good fit to provide health care services to me (or to my child).
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