Apollo Health Clinic

Path of a Patient

Apply To Be A Patient

New patient Instructions

Welcome to Apollo Health Clinic!
To move forward as a new patient please start our application below.

New Patient Application

Your Name(Required)
Our health coaches can work with you in any USA State. Dr. Madeira is working with patients with addresses in WA State and Montana at this time. He may be expanding this in the near future to Arizona and California.
Gender:(Required)
Your phone number is so Dr. Madeira can call you for your new patient phone conversation, and so we can input your information into our clinic calendar to schedule your phone call.
We will need this to put you into our scheduling software. We will not spam message you. However, you will receive appointment reminders.
For example Portland, Maine, USA.
For example, a friend, family member, google search, social media, Podcasts, or Dr. Madeira's Podcast.
You agree your health is stable (no hospitalizations in the past year):(Required)
We work with patients seeing MD specialists, however, if you are frequently being admitted to the ER or the hospital we suggest reaching a stable place in your health prior to working with our team.
You agree that you are currently NOT undergoing any treatment for cancer for >1 year:(Required)
Clarification: We do not work with cancer patients undergoing active oncology therapies. However, we do work with patients after they have completed their conventional cancer treatments.
Are you currently residing or working in a building that, to the best of your knowledge, has NO mold due to water damage?(Required)
If you are currently living or working in a moldy environment, it is important to address this issue as a top priority. While we can still assist you, it is recommended to prioritize addressing the mold situation before seeking our services. This will ensure better results in helping your body eliminate the effects of mold. You must be out of the mold before treating mold in your body! Contact Yesweinspect.com to get a consult about your home with their team!
We work with patients that are highly motivated to meet us at least half way and we are committed to do the same.
I am looking for a doctor and wellness team to help me with 1 or 3 of the following:(Required)
*NOTE: If you write none of the above please write what you are looking for help and guidance with in the large box above so we can confirm we are the best clinic for your wellness goals.
I am looking for a integrative medicine doctor and wellness team to help me with 1 or 3 of the following:
*NOTE: If you write none of the above please write what you are looking for help and guidance with in the next question so we can confirm we are the best clinic to help you achieve your wellness goals.
0 of 300 max characters
0 of 350 max characters
Please enter a number from 0 to 50.
Please enter a number from 0 to 50.
What type of doctors have you seen for your main health concerns:(Required)
What was the outcome of your diagnosis and plan with these other practitioners, if applicable, please share in the above box. What do you want to avoid from happening in your next experience with a practitioner?
What are your main obstacles to achieving your health goals? (e.g., money, time, knowledge, chronic fatigue, energy, cooking skills, etc.)(Required)
Are you willing to invest $3K-$6K for medical solutions to restore your health?(Required)
Please view our membership programs menu for the exact pricing of our offerings. Memberships do not include the costs of lab testing, supplements, or medications.
Will you be compliant with getting advanced blood, urine and/or stool testing done?(Required)
This assumes integrative medical necessity for labs ordered and the cost of labs is shared upfront. Labs and Supplements are not included in the membership dues.
Are you able to travel to one of the below locations for an annual in-person visit with Dr. Madeira?(Required)
How much do you know about our clinic?(Required)
I understand that Dr. Madeira is licensed in as a Naturopathic Physician and can prescribe with limited prescription abilities, & does NOT prescribe opiate pain medications:(Required)
Dr. Madeira and his functional medicine team utilize natural medicines, herbal medicines, nutrition, and advanced lab testing (urine, stool, nasal swabs, blood) to assess patients' health and wellness status beyond hormones and hormone replacement therapy.
I understand Dr. Sam Madeira is NOT contracted with any health insurance companies.(Required)
We do not bill insurance. We are a membership clinic. Patients can utilize their HSA cards. And we accept all other forms of payment.
I agree to work with one of the available health coaches on staff there at Apollo Health Clinic while working with Dr. Madeira concurrently.(Required)
Nutrition & Functional Medicine Health Coaching telehealth visits (aka - your personal success and implementation manager) are included in all membership plans at Apollo Health Clinic. Benefit from implementation managers who help you execute your wellness plan.
Will your spouse, significant other, or parent(s), etc., be present during the New Patient Phone Call or Meet and Greet visit if you are not the sole financial decision maker?(Required)
Yes, please put me on your waiting list for:
Chose one or all if you are interested. Will be offering in my Whitefish, Montana location and possibly another location in the future. Stay tuned!
I agree that the New Patient Phone Call does not establish a Doctor-Patient relationship.(Required)
Important: The phone call does not involve reviewing your past medical history or lab reports. Its purpose is to determine if we can assist you and if you wish to work with our team.
I agree to, acknowledge and understand the Apollo Health Clinic Membership Pricing(Required)
By checking this box, you confirm that you have reviewed and agreed to the pricing of the membership programs as follows: * Basecamp Membership Program (nutrition and health coaching only): $1,500. * The other membership options start at $2,500 for the first month and $500 per month thereafter, with higher tiers available. Please be aware of the pricing beforehand and focus your questions on how we can help you achieve your wellness goals, rather than primarily asking about the price.
I consent to show up to my new patient phone call once scheduled with Dr. Madeira. I have read this form carefully and I'm ready to discuss moving forward into one of the membership programs at Apollo Health Clinic as outlined here on the clinic website.(Required)
Sign below and enter today's date.
MM slash DD slash YYYY
Date format: mm/dd/yyyy

  • 20-minutes $50
    The new patient interview is for you to see if this transformational process is a good fit for your wellness goals at this time. This new patient interview is a paid phone conversation and not a medical visit or consultation. This is your opportunity to ask questions about how this process works at Apollo Health Clinic.

    $50 Appointment will be accepted when a valid Credit Card has been added to your patient portal

    • After the initial foundation phase (months 1 – 6), patients will enter the Intensive or Non-intensive tier to continue their custom protocol for root cause approach and reversal of chronic concerns & optimization of full systems for optimal health and disease prevention. 
    • Dr. Madeira will place you into your appropriate tier during your Graduation Consultation in month 6 of your 6-month program.
    The Intensive tier: $450 per month for 3 months

     

    1 hour with the Doctor & 1-hour with the Health Coach alternating months, if support is needed on the month when I am not seeing them and the health coach is then we can have a consultation with Dr. Madeira.
    The Non-intensive tier: $250 / month for 3 months.
    Every other month consultations then you will have a health coach for 30-minutes.
     
    • Consultations:

      1st Half of patient maintenance program:

      • 1 in-person office visit with Dr. Madeira per year.
      • Optional: Health coach 30 minutes with a health coach (if needed) in the first 6 months.

      2nd half of patient maintenance program

      • #1 30-minute visit with Dr. Madeira via Zoom video.
      • Optional: 1-hour consultation with the health coach. 

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