Book a free discovery call
A doctor talking with a patient on a laptop video call

How it works

How we work together

Your recovery is a collaboration. We start with your why, look deeper together, and build a plan you understand and choose to follow, all by secure video or phone from wherever you are in Arizona, Montana or Washington.

  1. We start with your why

    A free 30-minute discovery call. We get clear on your goals, what’s been happening and what you want your life to look and feel like. It’s a non-clinical conversation, so no diagnosis or treatment yet.

  2. We look deeper, together

    An in-depth visit and a full review of your history, records and labs, plus targeted testing where it helps, including for hidden environmental exposures.

  3. You get a clear plan

    A step-by-step plan built on the naturopathic therapeutic order, connected to your goals, so you always understand what we’re doing and why. You choose the pace.

  4. We adjust as you progress

    Regular follow-up visits where we review what you’re noticing, refine the plan and build on each step forward.

What happens after your discovery call

  1. If we’re a good fit, you choose the program that suits you. Prices are on the pricing page.
  2. Your first visit is by video, up to 90 minutes depending on your program.
  3. Labs are typically ordered after your first visit, for you to complete locally. The 4-Month Whole-Body Systems Reset includes up to $399 in lab testing; for other programs, lab costs are listed on the pricing page.
  4. Follow-up testing is usually about two months in.
  5. If we’re not a good fit, you’re under no obligation.

A true partnership

You bring your story. I bring the clinical expertise.

What you bring

  • Your why: the reason getting well matters to you
  • Your story, including what you’ve tried and what you’ve noticed
  • Curiosity and willingness to take consistent steps
  • Honest feedback, so we can adjust what isn’t working

What I bring

  • Unhurried time to listen and understand you
  • 14 years of clinical experience in root-cause and environmental medicine
  • A clear plan with explanations, so you always know the why behind each step
  • Ongoing guidance, adjustments and coordination with your other doctors when needed

Apollo Health Clinic is a concierge, private-pay practice and does not accept insurance, so our time together is built around you.

The approach

The naturopathic therapeutic order

Care starts with the least force necessary and builds step by step, in this order.

Dr. Sam Madeira, NMD, deep in thought, wearing a stethoscope
  1. Remove obstacles to health

    Identify and reduce toxic burden from heavy metals, mold toxins and other environmental exposures, along with diet, stress, sleep and digestion.

  2. Support the body’s ability to heal

    Botanical medicine, personalized nutritional medicine, detoxification therapies and mindfulness practices.

  3. Add more only as needed

    Following the naturopathic therapeutic order, using the least force necessary.

What you’ll need

  • To be 18 or older
  • To live in Arizona, Montana or Washington, and be in one of those states during each visit
  • A phone, tablet or computer with a camera and a reliable internet connection
  • Any recent lab results and records you’d like reviewed

What to expect

  • Time to tell your whole story
  • Clear explanations, without jargon
  • A plan built around your goals and your situation
  • Honest expectations: recovery from complex chronic illness takes time

See programs and pricing →
Read the frequently asked questions →
For physicians and practitioners: refer a patient →

How telemedicine works across three states

Licensed in each state. Dr. Madeira holds a naturopathic license in Arizona (NMD), Montana (ND) and Washington (ND). Each is regulated by that state’s board, and you can verify his licenses on his bio page.

Where you live and where you are both matter. You need to be a resident of Arizona, Montana or Washington, and be physically located in one of those states at the time of each visit. If you travel, plan your visits for when you’re back. If you move to another state, care can’t continue.

Labs close to home. Lab tests are typically ordered after your first visit, for you to complete at a nearby draw site or with an at-home kit, and the results are reviewed with you at your next visit.

Time zones. Arizona and Montana are on Mountain Time and Washington is on Pacific Time. Most of Arizona doesn’t change its clocks for daylight saving time, so your appointment confirmation shows the time in your own time zone.

Questions about telehealth care

Can a naturopathic doctor see me by telehealth?

Yes. Dr. Madeira is a licensed naturopathic physician in Arizona, Montana and Washington, and every visit is by secure video or phone. You need to live in one of those states and be in one of them during each visit. Telehealth doesn’t include physical exams, so we ask every patient to keep a primary care doctor.

How long is the first visit?

In the 4-Month Whole-Body Systems Reset, the first visit is 90 minutes, so there’s time to go through your whole story. It starts after the free 30-minute discovery call, where we decide together whether working together is a good fit.

When are lab tests ordered?

Dr. Madeira typically orders lab tests after your first visit. They may include blood tests, urine tests and stool testing for microbiome health. What’s ordered depends on your individual health situation, your goals and what we learn together. You complete the tests at a nearby draw site or with an at-home kit, and we review the results together. Follow-up testing is typically ordered about 2 months into your treatment plan, and after that as Dr. Madeira recommends.

What if I travel or move out of state?

You need to live in Arizona, Montana or Washington and be in one of those states during every visit, so if you travel, plan your visits for when you’re back. If you move to another state, Dr. Madeira can’t legally continue your care, because his licenses cover only Arizona, Montana and Washington.

Do I need a referral from my doctor?

No. You can book the free discovery call yourself. If your doctor would like to refer you, the refer a patient page has what they need.

Do you work with mold inspectors?

Yes. Mold inspectors and indoor environmental professionals assess the building, and Dr. Madeira evaluates the person. Inspectors can see how Dr. Madeira works with inspectors.

“Dr. Madeira is compassionate and truly listens. He takes the time to look beyond band-aid solutions and digs deeper to look at the root cause.”

Dr. Shelly Sethi, D.O.

From Google reviews. Individual experiences and results vary.

Free discovery call

Ready to take the first step?

Book a free 30-minute discovery call with Dr. Madeira. We’ll start with your why: what you want your health and life to look like, what’s been getting in the way, and whether working together feels right for you.

  • 30 minutes by Zoom, free, with no obligation
  • We talk about your goals and what’s been getting in the way
  • A non-clinical conversation: no diagnosis or treatment yet
  • For adults who live in Arizona, Montana or Washington

Concierge, private-pay practice (no insurance accepted) · 100% telemedicine for adults in Arizona, Montana & Washington.