Can Flourish Clinic help me?
How much will this cost?
Are you covered by my insurance?
Is Flourish Clinic accepting new patients?
How do I make an appointment?
How can I contact you?
When will I start feeling better?
What are the processes of care?
What is the Bloom pathway?
What is the Root pathway?
Who are our patients?
How do we work with patients?
What is our treatment philosophy?
What conditions do we treat?
What conditions do we specialize in?
Working with Mark Volmer, R.Ac
Working with Ali Frederick DOMP, RMT
Working with Dr. Henstock-Zapf, MD
Working with Sheena Huculak, RN, RHN
Can Flourish Clinic help me?
While it’s challenging to make a guarantee in health care, we believe that our knowledge base and the level of care we provide set us apart from our colleagues.
Here’s why
We dedicate hours each week to digging through the medical literature to stay abreast of the best testing and treatment options available. Alternative and functional medicine is what we love to do – the majority of our resources are invested in becoming better practitioners.
The training we have already completed equips us with a skill set not found elsewhere in Canada. Mark has studied laser therapy and acupuncture under the tutelage of medical doctors in Germany. Ali has studied massage therapy and osteopathy with Canadian experts.
Mark and Ali are two of five practitioners in Canada to have studied Functional Medicine under world-renowned experts, Chris Kresser & Dr. Tom O’Bryan.
We recently welcomed Dr. Cathryn Henstock-Zapf, MD to the team. Dr. Henstock-Zapf spent more than 15 years in general practice and seven years as a pyschiatrist with the British military. She introduced Functional Medicine into her practice after seeing success with her patients as she finally got to the root of their health issues. Dr. Henstock-Zapf continues to train with The Institute for Functional Medicine.
How much will this cost?
It’s difficult to list an exact amount because different people will require differing amounts of care.
However, we pride ourselves on being cost-effective. We promise not to order frivolous testing, prescribe unnecessary treatment, or do anything else that could squander your financial resources.
We have no financial agreements with any of the laboratories we use for testing. The labs we recommend are done so with your best interest in mind at all times. The price of laboratory testing is determined solely by the company – no testing is ever marked up for our financial benefit.
The average lab test cost will be between $150-$400. New patients pursuing care under our Root pathway usually require between one and three tests to get started, depending on the case. Patients working with us under our Bloom pathway do not require lab testing.
Please note that labs located in the United States will charge in USD.
Office Visits
The number and frequency of office visits will depend on whether you are undergoing treatment through our Bloom or Root care pathways.
Under our Bloom care pathway, we will usually ask to see a patient once every 1-2 weeks.
Under our Root care pathway, we will usually ask to see a patient once every 4-6 weeks.
Depending on the severity of the case, treatment length can range from two weeks to over a year.
Supplements
Cost is heavily dependent on the person. We always opt for the most minimal and effective treatment protocols. Our goal is to get you to a point where you no longer require regular use of supplements.
Fee Schedule for Mark:
- New patient Functional Medicine (75-minutes): $447.50. Please note this includes 2 hours of Health Coaching with Sheena Huculak, RN, RHN
- Follow-up visit (30-minutes): $115
- New patient Acupuncture & Laser Therapy (60-minutes): $133
- Follow-up visit (45-minutes): $100
Fee Schedule for Ali:
- New patient Massage Therapy (75-minutes): $118.75
- Follow-up visit (60 or 90-minutes): $95 or $140
- New patient Osteopathy (70-minutes): $156.25
- Follow-up visit (55-minutes): $125
* All of the above prices include GST
Fee Schedule for Dr. Cathryn Henstock-Zapf:
- Click here to learn more about Dr. Henstock-Zapf’s practice.
Fees for Lab Interpretation:
- $50 per lab. This fee helps keep billing fair. Instead of building this fee into the cost of an office visit, and thus making everyone pay a higher rate, it is charged separately. This is done so those who need little lab work can pay less.
Are you covered by my insurance?
All acupuncture, massage, and osteopathy treatments are covered by third party insurance plans. Please note that we do not direct bill on your behalf to your insurance company. In order to receive reimbursement from your insurance company, you will need to submit your receipt to them following your treatment.
Functional Medicine visits can be claimed under health spending accounts. Please note that these visits cannot be claimed under acupuncture coverage.
Acupuncture, massage, and osteopathy services are only eligible to be claimed through insurance for residents of Alberta. We will provide an itemized receipt at each office visit. On each receipt will be Mark or Ali’s registration number that can be submitted for massage, acupuncture, or osteopathy coverage.
Supplements and lab testing cannot be submitted under acupuncture, massage, or osteopathy. If your insurance plan includes a health spending account, supplements and/or lab testing can be claimed under this benefit.
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Is Flourish Clinic accepting new patients?
Yes, both local and distance (you must be a legal resident of Canada).
Patients can be seen in person at our Cochrane Clinic or via phone/Skype.
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How do I make an appointment?
The easiest way is to book online.
Here you will be able to see all of our practitioners’ schedules for the next year and schedule yourself accordingly. This is the preferred way to schedule an appointment.
If this is your first visit to the clinic, please schedule yourself for an Initial Consult. Alternatively, you can email us or contact us by phone @ 403.907.0464
If you do plan to get in touch with us over the phone, please know that we have limited reception hours. Please leave us a voicemail and we will be in touch within 24 hours.
I have a question about my treatment, how do I get in touch?
Email is our preferred means of communication.
We will get back to you within 24 hours.
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When do I start feeling better?
Some patients begin to feel better within days to weeks, while for others it may take months. This is highly specific to the individual. Our practitioner can give you a specific prognosis during your office visit.
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How does the process of care work?
By asking our patients to complete a detailed medical history questionnaire, we separate our patients into two pathways:
Bloom
For acute care
These patients have been suffering from injuries or illness for less than three months. Examples:
- Sports performance
- Pain management
- Injury rehabilitation
The Bloom pathway is our expedited approach to addressing acute injury or illness. It is similar to a conventional visit to a massage therapist, acupuncturist, or osteopath.
Root
For chronic care
These patients have been suffering from injuries or illness for longer than three months. Examples:
- Fibromyalgia
- Adrenal Fatigue
- Gastrointestinal disorders
Our chronic care pathway is designed to uncover the Root cause of your illness. This often involves alterations to diet and lifestyle and is a thorough investigation into your health.
We understand that not everyone is in a place to make dramatic changes to their diet or lifestyle. Therefore, on a case-by-case basis, we may make concessions to treat those with chronic conditions through the Bloom pathway.
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What is the Bloom pathway?
In our Bloom pathway, we expedite recovery time by first identifying the imbalance followed by the specific use of modalities best suited to your case. This can be through the use of acupuncture, massage, osteopathy, cupping, and laser therapy. This stacking of services facilitates a recovery that gets you back doing what you love, fast.
Before arriving for your initial appointment, you will be provided an online intake form to complete. Your practitioner will review your history before the initial visit to ensure that your time together is productive and collaborative.
Your initial appointment will focus on orthopedic tests to identify what muscle or body system is imbalanced. We will then treat the affected area. At the conclusion of your appointment your practitioner will recommend the most efficient way to remedy your condition including:
- Number of visits required to alleviate your condition
- Additional therapists recommended to visit (if applicable)
- Spacing or duration of time between visits
- At-home stretches, exercises, or supplements
There are two important related phenomena we see in acute pain issues:
- Some of your muscles or muscle groups that you use on a daily basis are not responding. They are not undeveloped or weak, but rather, they simply have been “turned off”. This is often a nervous system problem, not a muscular problem.
- Injuries often involve the muscles/joint(s) directly or indirectly above or below the area of trauma. For example, the gluteal muscles are usually involved with knee or IT band issues; elbow issues like tennis elbow usually are related to shoulder and wrist stability issues. In treatment, we look well beyond the painful issue and search for “weak” muscles further away from the problem.
Our Bloom pathway restores the normal function of muscles while addressing the site of injury with manual or laser therapy. This two-pronged approach has led to rapid improvement in our patient’s symptoms in modest amounts of time.
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What does the Root pathway look like?
Treatment through the Root pathway is our systematic approach towards uncovering the cause of your health problem. We generally find this to be layered, meaning that there is often more than one contributing factor to your illness.
At Flourish Clinic, we embrace a Functional Medicine approach. This includes an emphasis on a nutrient-dense, whole foods diet and focus on lifestyle factors such as stress management, sleep, and physical activity.
The way our practitioners work with patients differs considerably from the conventional massage and acupuncture approach you may be accustomed to.
To learn more about the specific way in which each practitioner works with chronic illness, click here.
Who are our patients?
We treat patients with a wide range of chronic health problems including digestive disorders, chronic infections, autoimmune disease, and hypothyroidism.
Patients who do best under our care:
- Don’t want to rely on unnecessary drugs and medical intervention for the rest of their lives;
- Are interested in discovering the underlying cause of their problems, rather than just suppressing symptoms;
- Are motivated to play an active role in their own healing process;
- Are willing to make the necessary dietary and lifestyle changes to support their health and well-being.
How do we work with our patients?
One way to think of us is as “health detectives.” We focus on identifying and addressing the underlying cause of an illness, rather than just suppressing symptoms. Like all detectives, we use a variety of tools in our investigations, including:
- Detailed questionnaires,
- A thorough medical history and examination,
- Comprehensive laboratory tests (blood, urine, stool, and saliva testing).
We then use nutritional therapy, herbal medicine, supplements, stress management, detoxification, lifestyle changes, and—in some cases and only when necessary—prescription medications to eliminate triggers and restore proper function and balance.
Deep and lasting healing is only possible when the root causes of illness are addressed. By understanding the core systems of the body, how they are related, and how their function can be restored, many chronic illnesses can be prevented and even reversed.
What is our treatment philosophy?
Functional Medicine is a new model of medicine, sometimes also referred to as “systems” medicine. It is neither conventional nor alternative medicine, but a combination of the best elements of both. We believe it represents the future of medicine.
Functional Medicine is:
- Investigative. Addresses symptoms by focusing on the underlying cause of the problem, which leads to more profound and longer lasting results.
- Holistic. Envisions the body as an interconnected whole that is in dynamic relationship to its environment, and recognizes the importance of these connections in health and disease.
- Safe. Treatments have mild or no side effects, and other unrelated complaints often improve spontaneously.
- Patient-centered. Treats the patient, not the disease. Treatments are highly individualized based on patient needs.
- Participatory. The patient is respected, empowered, educated and encouraged to play an active role in their healing process.
- Integrative. Combines the best of both modern and traditional medicines and emphasizes importance of diet and lifestyle.
- Restorative. Tests and treatments designed to promote optimal function, prevent and reverse disease, and improve quality of life.
- Preventative. Guided by the ancient Chinese saying, “The superb physician treats disease before it occurs.”
- Evidence-based. Based on the latest research from peer-reviewed medical journals, and uncorrupted by corporate and political interests.
What conditions do we treat?
In conventional medicine, there’s a doctor for every part of your body: cardiologists for the heart, gastroenterologists for the digestive system, neurologists for the brain and nervous system, podiatrists for your feet, and ophthalmologists for your eyes. But in functional medicine, we see the body as an interconnected whole within a larger environment. We recognize that in order to treat one part of the body, all of the other parts must also be considered.
In working with you as a patient, we take a step back and try to see common features that might link all the health conditions that you are experiencing. By looking for the commonalities and patterns, we can offer interventions that affect multiple pathways, helping you recover your health faster and more completely.
As Functional Medicine practitioners, we are able to treat a wide variety of health problems, including (but not limited to):
| Acne | Environmental and food allergies |
| Adrenal disorders | Fatigue |
| Anxiety | Female disorders (PMS, Menopause, Infertility, PCOS) |
| Arthritis | Hormone imbalances |
| Biotoxin illness/Chronic Inflammatory Response Syndrome (CIRS | Interstitial cystitis |
| Cardiovascular disease | Mercury and heavy metal toxicity |
| Chronic fatigue | Metabolic syndrome, prediabetes, insulin resistance |
| Chronic sinusitis | Migraines and headaches |
| Chronic infections | MS (Multiple Sclerosis) |
| Depression | Osteoporosis |
| Diabetes | Mercury and heavy metal toxicity |
| *Low back pain | Migraines and headaches |
| Metabolic syndrome, pre-diabetes, insulin resistance | Overweight and obesity |
| Digestive disorders (IBD, IBS, GERD/Reflux) | Sleep disorders and insomnia |
| Eczema/psoriasis | Stress |
| Elevated Cholesterol | Thyroid disorders |
| Environmental and food allergies |
What conditions do we specialize in?
At Flourish Clinic we are fortunate to have two Functional Medicine practitioners. Mark Volmer, R.AC and Dr. Henstock-Zapf, MD have different backgrounds, but both of their paths have led them to the decision that Functional Medicine offers their patients the best opportunity to recover their health.
While our practitioners are confident that they can help most people with the conditions listed above as well as others not on the list, they individually have particular experience with and training in:
Mark Volmer, R.AC:
- Chronic fatigue
- Adrenal fatigue
- Toxic mold illness and CIRS
- Mast cell activation disorder
- Celiac disease and gluten-related illness
- Keto & Paleo nutrition plans
Ali Frederick, DOMP, RMT
- Lymphedema
- Celiac + Gluten intolerance and related disorders
- Acute and chronic pain management
- TMJ and associated syndromes
- Sports injuries
- Tendonitis
- Stress management
- Low back pain
Dr. Cathryn Henstock-Zapf, MD:
- Alzheimer’s disease and the Bredesen Protocol
- Metabolic disorders
- Diabetes
- Insulin resistance
- Syndrome X
- High cholesterol
- Ketogenic lifestyle
Dr. Henstock-Zapf is currently only accepting appointments through email. Contact us at hello@flourishclinic.com to book an initial consultation.
Sheena Huculak, RN, RHN:
Sheena supports clients in achieving their health goals through lifestyle and behavior modifications. Sheena’s specialties include:
- Ketogenic (high fat, low carb) nutrition
- Weight loss
- Energy enhancement,
- Stress reduction
- Managing chronic disease symptoms.
Working with Mark Volmer, R.Ac
Mark Volmer has been studying alternative medicine since 2005. He has always been fascinated with the connection between the digestive tract and chronic illness. The way that Mark works with patients differs considerably from the conventional medical or acupuncture model you may be accustomed to. Please read the following information thoroughly to familiarize yourself with his process.
Mark works with patients in two distinct ways:
- Acupuncture & Laser Therapy
- Functional Medicine
Acupuncture & Laser Therapy
Acupuncture and laser therapy treatments are ideal for acute injuries (less than 6 months). As a new patient, your treatment is broken into two phases:
- Initial consult & treatment
- In this visit, Mark will assess and treat your injury/illness using acupuncture, laser therapy, or a combination of the two. He will also recommend a treatment frequency aligned with your own health and wellness goals.
- Follow-up treatments
- Follow-up visits occur on an as-needed basis. Treatment frequency is dependent on the severity of your injury/illness and your own wellness goals.
Acupuncture & Laser Therapy Fees
Hourly rate is $133
- Rate is prorated to time used in 15-minute increments
Initial Consult (60-minutes) : $133
- Includes assessment and acupuncture/laser therapy treatment.
Follow-up visit (45-minutes): $100.
Functional Medicine
As a new patient, your treatment is broken into two phases:
- Case Review
- Ongoing Treatment
Each phase is described in more detail below.
Phase One: The Case Review
The Case Review is the first step for all new patients. The Case Review process is designed to save money and time over the long term by performing the appropriate diagnostic testing and evaluation before treatment begins. A cornerstone of our approach is “test, don’t guess.” Identifying the underlying patterns contributing to disease is the key to a successful and lasting outcome.
The Case Review serves several purposes. It enables Mark to more accurately estimate how long your treatment program will last, what it will include and how much it will cost. It gives you the chance to ask any questions you may have about your condition and what you should expect. It also provides an opportunity for us to get to know each other and determine if our clinic is a good fit for you.
Functional Medicine appointments do not need to be conducted in person – Mark is able to work virtually with patients by phone, Skype or Zoom.
The Case Review includes:
- A thorough review of your medical history and relevant previous lab work (10-page limit);
- A review of your current diet and nutritional supplements;
- A detailed body systems assessment;
- A 75-minute in-person consultation to review your results and present your treatment plan;
- A treatment plan including diet, supplements, and lifestyle therapies;
- Recommendations for further testing (if necessary).
The Case Review process includes two steps, which are described in more detail below.
Step One: Initial Consultation
Prior to this appointment, you will be provided by email with an online comprehensive health history intake form. It is important that you spend time and energy completing this intake form as it is vital in helping Mark understand your case. This form includes:
- A detailed health and medical history questionnaire,
- A survey of your chief complaints and most important health goals,
- An assessment of your most troubling and frequently experienced symptoms,
- A diet survey and questionnaire,
- A survey of your current supplements and medications.
The initial appointment is 75 minutes, during which Mark will conduct a thorough interview. This appointment has two purposes: to make sure that he has all of the information needed to gain a comprehensive understanding of many of the factors affecting your health and to give you a head start on your treatment.
Based on your chief complaints and your history he will determine which lab tests to order for your case.
The exact lab testing ordered after the Initial Consult depends on your individual circumstances, but may include:
- A comprehensive blood chemistry panel. This is the single most efficient, effective and affordable tool for quickly evaluating your health. It screens for a wide range of conditions, including several types of anemia; gut, viral and bacterial infections; insulin resistance and hypoglycemia; liver and kidney issues; and thyroid and adrenal problems. It offers important clues as to how to structure and focus your treatment to get the best results. It also provides a baseline of biomarkers that can be used to objectively track the progress of your treatment over time.
- Additional blood tests for specific conditions, such as high cholesterol, hypothyroidism, autoimmune disease, and gluten sensitivity.
- Advanced stool testing to screen for parasites, fungal overgrowth, bacterial infections, intestinal inflammation, dysbiosis, and a deficiency of beneficial gut bacteria.
- Urine organic acids testing to screen for small intestinal bacterial overgrowth, fungal overgrowth, problems metabolizing fat or carbohydrates, B-vitamin status, methylation issues, detoxification capacity, oxidative stress, and neurotransmitter metabolism.
- Urine hormone testing for adrenal and sex hormone status.
Once Mark has received your lab results and completed all Case Review paperwork, you will move on to Step 2: the Case Review Consultation. This typically occurs within 10-30 days after the Initial Consultation, to ensure all lab results have been received.
Step Two: In-Person Consultation
The Case Review Consultation is a 60-minute appointment. Prior to the consultation, Mark will review the results from the labs that were ordered along with your Case Review paperwork, medical history, diet and supplement survey, assessment forms, and relevant prior lab work. When combined, this information creates a Report of Findings, which is broken into three parts:
- A summary of the underlying patterns that are contributing to your symptoms.
- An outline of the suggested treatment plan, including dietary, supplement and lifestyle recommendations.
- Recommendations for further testing (this will typically be minimal, if necessary at all, because of the completeness of the Case Review process).
During your consultation, Mark will present the Report of Findings as well as your treatment plan. He will also review all of your test results with you and answer any questions you have about the findings or the treatment plan.
Phase Two: Ongoing Treatment
Health Coaching
Once both steps of the Case Review are complete, you have two Individual Health Coaching Sessions with Sheena Huculak, RN, RHN. Sheena will work closely with you and Mark to help you achieve your health goals through lifestyle and behaviour modifications.
Follow-Up appointments
You will also have follow-up appointments with Mark on an as-needed basis throughout the remainder of your treatment plan.
The first follow-up appointment generally occurs between two and four weeks after your Case Review Consultation. At that time, Mark will review your progress on the treatment plan, along with any follow-up test results, and make additional recommendations as necessary.
From there, the frequency of your follow-up appointments will depend upon the severity of your condition as well as your response to the treatment.
Functional Medicine Fees
The Case Review is the fastest and most efficient way to determine the underlying causes of your health problems and design an effective treatment plan. While a Case Review may cost more than a typical initial visit to a physician, it is designed to save you money and time over the long-term by performing the appropriate diagnostic testing and evaluation before treatment begins.
Below is a breakdown of the costs involved in the Case Review and follow-up visits so you can plan accordingly. All of these are billed at the conclusion of the appointment.
Hourly Rate: $230
- Rate is prorated to time used in 15-minute increments
Initial Consult: $447.50
- Includes one 75-minute appointment with Mark, two hours of Health Coaching with Sheena Huculak, RN, RHN, and Case Review preparation.
- Note that if Mark decides you do not require Health Coaching, this cost will be deducted from your Case Review.
Case Review (60 minutes): $230
- A 60-minute appointment that reviews the Report of Findings
Regular Follow-ups:
- $130 for 30 minutes
- $172.50 for 45 minutes
Lab Testing
Lab testing is never marked-up. The practitioners at Flourish Clinic are not associated or affiliated with any laboratory. The recommended labs are chosen based on the quality of testing.
The fee for laboratory tests ordered during the case review process is typically $180- $700 depending on the complexity of condition and level of diagnostics required. The cost of some testing includes an administration and interpretation fee of $40.
Estimated Costs for Laboratory Tests for Ongoing Treatment
Ongoing lab fees vary considerably depending on the patient and treatment plan, but average approximately $100–400/month.
Supplements
The fee for supplements that are prescribed as part of your treatment plan after the Case Review can be anywhere between $50–$400. You will have the opportunity to approve or decline the suggested supplements before you are charged for them. Supplements are offered in the clinic as a convenience to our patients. You are not obligated to purchase the supplements from us.
Estimated Costs for Supplements for Ongoing Treatment
Ongoing supplement fees vary considerably depending on the patient and treatment plan, but average approximately $50–$350/month.
Working with Ali Frederick, DOMP, RMT, Certified Gluten Practitioner
Ali has been captivated by the human body and optimal health for most of her life. With a family history full of chronic illness, and a strong drive to help others live the healthiest life possible, she has studied many avenues to best support the body’s natural capability to heal. Osteopathy and visceral work are non-invasive and effective methods to approaching chronic illness and chronic pain. Manual therapies paired with her passion for sustainable lifestyle changes create the platform in which she helps her clients. Read on to understand her approach to treatment.
Osteopathic Therapy vs. Massage Therapy
Before treatment, Ali will perform a personal assessment. This will determine whether massage therapy or osteopathy will be recommended for your condition. For simple injuries, massage is typically a broad enough scope to support your health. For chronic injuries, chronic pain, and/or stomach pain, Ali will recommend an osteopathic treatment. This allows her to perform all treatments techniques she has under that scope of practice. There is a separation of treatments as she belongs to two colleges with different approaches to treatment.
Phase One: The Case Review
The Case Review is the first step for all new patients. The Case Review process is designed to save money and time over the long term by performing the appropriate evaluation before treatment begins. Identifying the underlying patterns contributing to disease and pain is the key to a successful and lasting outcome.
The Case Review serves several purposes. It enables Ali to more accurately estimate how long your treatment program will last, what it will include, and how much it will cost. It gives you the chance to ask any questions you may have about your condition and what you should expect. It also provides an opportunity for us to get to know each other and determine if our clinic is a good fit for you.
The Case Review includes:
- A thorough review of your medical history.
- A review of your current diet and nutritional supplements.
- A detailed structural body assessment.
- A 75-minute in-person consultation to review your results and present your treatment plan.
- A treatment plan including diet, lifestyle therapies, and personalized referrals.
Step One: Initial Consultation
Prior to this appointment, you will be provided by email with an online comprehensive health history intake form. It is important that you spend time and energy completing this intake form, as it is vital in helping Ali understand your case. This form includes:
- A detailed health and medical history questionnaire
- A survey of your chief complaints and most important health goals
- An assessment of your most troubling and frequently experienced symptoms
- Your current supplements and medications, and self-care regimen
The initial appointment is 75 minutes, during which Ali will conduct an in-person interview and thoroughly assess your structural health. The structural assessment will include affected (painful) and unaffected structural health. This appointment has two purposes: to make sure that she has all of the information needed to gain a comprehensive understanding of many of the factors affecting your health and to give you a head start on your treatment.
Based on your chief complaints and your history she will determine the most effective and efficient treatment plan, which therapy she will use, and recommendations for referrals.
Referrals
As a manual therapist, Ali is aware that physical pain is not always caused by structural issues or injuries. More than 60% of Ali’s chronic pain clients experience incredible results from the investigation of lifestyle influences and gut function on their health. Because of this, Ali has an extensive referral network to ensure you’re receiving the essential care to properly heal and achieve your optimal energy. She will go through these at your Case Review Consultation, within 1-4 weeks of the Initial Consultation.
Step Two: Case Review Consultation
The Case Review Consultation is a 60-90 minute in-person appointment. Prior to the consultation, Ali will research your presenting symptoms, medical history, diet and supplement survey, and assessment forms. When combined, this information creates a Report of Findings, which is broken into three parts:
- A summary of the underlying patterns that are contributing to your symptoms;
- An outline of the suggested treatment plan, including dietary, lifestyle recommendations, and referrals;
- Recommendations for further appointments.
During your consultation, Ali will present the Report of Findings as well as your treatment plan. She will also answer any questions you have about the findings or the treatment plan.
Phase Two: Ongoing Treatment
Once both steps of the Case Review are complete, you will have follow-up appointments on an as-needed basis throughout the remainder of your treatment plan. At this time, Ali will recommend osteopathic or massage-based treatments. Due to separate techniques, there will be a distinction for each treatment performed.
The follow-ups will be 1-8 weeks apart. Depending on the amount of treatment required in each session, they will vary between 60, 75, or 90 minutes in length.
From there, the frequency of your follow-up appointments will depend upon the severity of your condition as well as your response to the treatment.
Fees
The Case Review is the fastest and most efficient way to determine the underlying cause of your health problems and design an effective treatment plan. It is designed to save you money and time over the long-term by performing the appropriate evaluation before treatment begins.
Below is a breakdown of the costs involved in the Case Review and follow-up visits so you can plan accordingly. All of these are billed at the conclusion of the appointment.
Rates are prorated to time used in 15-minute increments.
Massage Therapy Rates
Hourly: $95
Initial Consult: 75 minutes $118.75
- Includes the 75-minute appointment, massage therapy, dietary guidelines, and case review preparation.
Case Review: 90 minutes $140
- Includes the Report of Findings, and a massage therapy treatment.
Regular Follow-ups:
- $95 for 60 minutes
- $118.75 for 75 minutes
- $140 for 90 minutes
Osteopathy Rates
Hourly: $125
Initial Consult: 70 minutes $156.25
- Includes the 70-minute appointment, osteopathic treatment, dietary guidelines, and case review preparation.
Case Review: 55 minutes $125
- Includes the Report of Findings, and an osteopathic treatment
Regular Follow-ups: $125 for 55 minutes
Working with Dr. Cathryn Henstock-Zapf, MD
Dr. Henstock-Zapf spent 16 years in General Medicine with the British Military and more than five years as a psychiatrist in the British National Health Service. When you are under the care of Dr. Henstock-Zapf you will be receiving all of her conventional medical knowledge in addition to her skills in Functional Medicine. The way that Dr. Henstock-Zapf works with patients differs considerably from the conventional medical model you may be accustomed to.
As a new patient, your treatment is broken into two phases:
- The Case Review
- Ongoing Treatment
Each phase is described in more detail below.
Phase One: The Case Review
The Case Review is the first step for all new patients. The Case Review is designed to save money and time over the long run by performing the appropriate diagnostic testing and evaluation before treatment begins. A cornerstone of her approach is “test, don’t guess.” Identifying the underlying patterns contributing to disease is the key to a successful and lasting outcome.
Step One: Initial Consultation
The Initial Consultation serves several purposes. It enables us to more accurately estimate how long your treatment program will last, what it will include and how much it will cost. It gives you the chance to ask any questions you may have about your condition and what you should expect. Finally, it provides an opportunity for us to get to know each other and determine if our clinic is a good fit for you.
During this 30 minute appointment, you will discuss what laboratory testing will need to be completed in order to give Dr. Henstock-Zapf a more comprehensive understanding of your health.
After this appointment, you will be provided with access to the Living Matrix Comprehensive Health Intake Questionnaire. It is important that you spend time and energy completing this intake form, as it is vital in helping us understand your case. Full completion may take upwards of three hours and includes a three-day diet journal. This includes:
- A detailed health and medical history questionnaire
- A survey of your chief complaints and most important health goals
- An assessment of your most troubling and frequently experienced symptoms
- A diet survey and questionnaire
- A survey of your current supplements and medications
- Detailed body assessments regarding metabolic and neurological function
Note: We do feel that it is important for us to review previous labs and records. Please provide these to our office in advance of your appointment via the patient portal. Dr. Henstock-Zapf will review these at the time of your appointment, however, if the records are extensive, Dr. Henstock-Zapf will need additional time to complete her review of the records. This will be billed at an additional cost.
After your initial appointment, Dr. Henstock-Zapf will:
- Recommend initial laboratory evaluations, specifically tailored to your personal case
- These may include labs performed through Alberta Health Care (no charge) or, labs through private clinics (fee for service)
- Provide you with dietary guidelines to follow
- Recommend initial supplements and lifestyle changes for you to begin
Once you complete your labs and we have received the lab results you will move on to the next step, the Functional Medicine Consultation. This typically occurs between 4-6 weeks after the Initial Consultation, to ensure all labs results are received. During this time you will be implementing the recommended dietary and lifestyle alterations and making forward progress.
Step Two: Living Matrix Consultation
This consultation is a 2 hour appointment during which time Dr. Henstock-Zapf conducts a full interview and physical assessment to ensure she has all of the information she needs to gain a comprehensive understanding of many of the factors affecting your health.
At this visit, Dr. Henstock-Zapf will:
- Integrate data from your history and intake with the new laboratory data from testing
- Discuss the underlying patterns and triggers that are contributing to your symptoms
- Outline the suggested treatment plan, including dietary, supplement and lifestyle recommendations
- Recommend further testing (this will typically be minimal, if necessary at all, because of the completeness of the Case Review initial assessment)
- Answer any questions you have about the findings or the treatment plan
Phase Two: Ongoing Treatment
Once the Case Review is complete, you will have follow-up appointments on an as-needed basis. In general, Dr. Henstock-Zapf recommends that regular follow-up visits be scheduled every 6-8 weeks, depending on your health needs. At these visits, she will review your progress with the treatment plan, along with any follow-up test results, and make additional recommendations as necessary.
Fee schedule for visits with Dr. Cathryn Henstock-Zapf
As Functional Medicine is not covered under Alberta Health Services, all consultations and lab testing are fee-for-service. These fees not only reflect time spent with the patient but also time spent on lab interpretations and research Dr. Henstock-Zapf conducts outside of appointments.
Hourly rate: $485
Initial Consult: $250
- Includes the 30-minute in-office appointment, recommended initial laboratory evaluations, suggested dietary guidelines, supplements, and lifestyle changes.
Functional Medicine Consultation: $970
- A 2 hour appointment that includes a detailed physical examination and full discussion regarding your unique health patterns and triggers that contribute to your symptoms.
Regular Follow-ups:
30 minutes $250
60 minutes $485
- Scheduled on an as-needed basis, generally every 6-8 weeks.
Laboratory tests estimated costs for case review
Lab testing is never marked-up. The practitioners at Flourish Clinic are not associated or affiliated with any laboratory. The recommended labs are chosen based on the quality of testing.
The cost of laboratory tests recommended during the case review process is typically $150-$1000 depending on the complexity of condition and level of diagnostics required. The cost of some testing includes an administration fee and interpretation.
The exact lab testing ordered after the Initial Consultation depends on your individual circumstances, but may include:
- Blood tests for specific conditions, such as high cholesterol, hypothyroidism, vitamin markers, autoimmune disease, gluten and food sensitivity, and stealth infections.
- Advanced stool testing to screen for parasites, fungal overgrowth, bacterial infections, intestinal inflammation, dysbiosis, and a deficiency of beneficial gut bacteria.
- Breath testing for gastrointestinal bacterial imbalances.
- Urine organic acids testing to screen for small intestinal bacterial overgrowth, fungal overgrowth, problems metabolizing fat or carbohydrates, B-vitamin status, methylation issues, detoxification capacity, oxidative stress, and neurotransmitter metabolism.
- Saliva or serum hormone testing for adrenal and sex hormone status.
- Genetic testing for methylation and mold susceptibility.
Estimated Costs for Laboratory Tests for Ongoing Treatment
Ongoing lab fees vary considerably depending on the patient and treatment plan, but average approximately $200–400/month.
Supplements
The fee for supplements that are prescribed as part of your treatment plan after the Initial Consultation is typically $150–$300. Supplements are offered in the clinic as a convenience to patients. You are not obligated to purchase the supplements from us.
Please note that you will have the opportunity to decide which of the laboratory and supplement recommendations you wish to proceed with, and you will only pay for those that you approve. The only fee that you commit to is the fee for the visit.
Estimated Costs for Supplements for Ongoing Treatment
Ongoing supplement fees vary considerably depending on the patient and treatment plan, but average approximately $150–$350/month.
Dr. Henstock-Zapf is currently only accepting appointments through email. Contact us at hello@flourishclinic.com to book an initial consultation.
Working with Sheena Huculak, RN, RHN
Sheena’s credentials include:
- Bachelor of Nursing and more than 10 years spent in nursing;
- Training in Holistic Nutrition – focused on eating healthy food as close to its natural state as possible;
- Bulletproof Coach to help her clients learn, change and develop in order to realize their potential.
Sheena mentors, inspires, guides and motivates her patients to cultivate positive health habits. She has a heart-centered approach that keeps patients accountable and goal-focused.
Individual Coaching Sessions include:
Every Functional Medicine patient working with Mark Volmer receives two hours of Health Coaching with Sheena.
- One complimentary 20 minute Clarity Call where we can discuss your goals and chat a bit to ensure we are the right fit to work together.
- A 60-minute consultation to make personalized health recommendations with the option to book more.
- Initial coaching intake form to help establish goals.
- Homework to keep you focused and growing.
- A personalized action plan and self-care program.
- Informative and supportive, flexible and can be booked as needed
All sessions and information disclosed within will be held confidential as per the Flourish Clinic privacy agreement.
Schedule & Fees
Individual Coaching Session: $80/hour
*Please note that coaching sessions are conducted by phone or video conference. A three-month commitment, with one session per week, is strongly recommended as it allows for the most growth.