New Patient Information

Please Read this several days before your first appointment

In the Tibetan Medical system the practitioner will want to do a physical examination. This will includes pulse, urine, tongue. Questions about sleep, diet, and emotional states and experiences will be asked. It is not infrequent to do also do a quick examination of your physical structure; including spine, lymph nodes and some specific pressure points along your back or along your arms and legs.

To prepare for this examination please bring your second morning urine of the day. A clear - non-opaque glass container (not a Drs office sample cup please and PLEASE REMOVE LABELS), which is washed well, air dried and without a label – preferably not a container with residue of smell such as pickle or garlic jars etc. is best. The second urine means: if you urinate in the night, throw that urine and collect the first urine before food (after 4 am. constitutes the start time, meaning if you urinate at 3am the first after 4am. If you do not pee in the night take the second urine after 4am)

If you don’t urinate in the night, throw the first urine and collect the second one, preferably before eating or drinking though you do not need to fast or skip food, please take prescription medications or essential vitamins which you need to say sleep or not have a headache.

If a female is menstruating at the time of collection, just do your best to do a clean catch, don’t worry about it too much if there is some contamination.

(NO need to refrigerate the urine.)

Urine Collection Guidelines

Please observe the following for 24 – 36 hours prior to your urine collection:

PLEASE AVOID:

• Taking vitamins and minerals for 24-36 hours before collection of urine. This greatly affects color, crystals and smell and gives false readings. Most notably avoid Vitamins B and C. Please bring the urine in a jar or container that did not have strong smells previously.Required prescription medicines should be taken as necessary.

• Vaginal creams unless absolutely necessary.

• Eating foods that will affect the color and smell of urine for 12 – 36 hours before the sample is collected. These can include beets, asparagus, garlic, onions and very spicy foods like hot peppers. You don’t have to eat a very bland meal the night before, but just not too spicy, salty or extreme in any way. No need to fast or skip food in the morning, do everything relatively normally.

• Drinking alcohol or recreational drugs for 24-36 hours before you collect the urine. These will especially alter the color and reading of the urine. If you are a cigarette smoker it is not vital that you refrain from smoking, but if you frequently drink wine with your evening meals or have a beer at night please avoid these the night before you collect your urine.

• Sexual activity for 24-36 hours before the urine is collected, as this will also affect the color, textures and fluid substances within the urine.

• Do not worry in you are menstruating, just try to catch as clean a catch as possible.

Before Your Appointment

• DOWNLOAD & BRING INTAKE FORMS ALREADY FILLED OUT see below for links to download forms Please read and sign our informed consent form & Clinic policies and fill out the forms. We do not have a copy machine or printer, so if you want us to have any bloodwork please bring in hard copies. Do not expect to download labs from a portal and show us on your phone. If you feel they are relevant bring copies.

• It is important for your pulse to be as relaxed and close to your natural state as possible. Try to get a good night sleep the night before to help this. Exhaustion and lack of sleep will make it hard to get an accurate reading of your organs and system. You may want to arrive 10-15 minuets before your appointment so you are relaxed and not rushed when you meet with the practitioner.

• Bring a list of any questions you may have for the practitioner. Be sure to explain any longstanding health issues or diagnosis you are working with. If you have lab work you want in your file please bring a copy.

• Please bring a list of the medications or supplements you normally take on a daily basis that we can attach to your file if it does not all fit in the intake provided.

We request if you do go into labor, please have someone contact us at your earliest possible convenience in order to accommodate the waitlist, especially given the nature of the1.5 hr long appointment timings.

While some women do choose to be driven in and keep appointments during very early labor to help that process along, please reach out before hand to determine if that is right for your health and labor situation. In such cases you MUST have a driver with you during treatment. Thank you!

Please Note These Important Policies:

• Snow or severe weather Policy: Please plan ahead for winter weather as in Colorado, we all know when a storm is brewing! If you need to call to discuss upcoming snow in the next 36 hrs we can be flexible, but need to have that conversation within the 36 hrs. Late cancellations given under 36 hrs will be charged for the session fee. Please call us ahead if your concerned!

• No show’s for appointments and less than 48 hr notice cancelations made will result in being charged for the full session fee. 

• MONDAY APPOINTMENTS need a cancellation notification by the FRIDAY PRIOR by 4pm, in order to accommodate the wait list.

• We make every effort to appear in a timely manner for appointments and respectfully ask you to do the same. We often have people on wait lists and/or short notice emergent situations. When someone does not come for their scheduled appointment, those on the wait list cannot get in rendering your time slot, and our time wasted.  

• You will be asked for a credit card number in case of no-show or late cancels, or to hold your appointment slot if you are a new client. The card will not be charged unless you late cancel or no show, in which case it will be charged in full. It is to be downloaded along with the intake forms and returned filled out at the first appointment.

• There is a no refunds for goods or services policy

• Returned checks will have a $30 fee on top of the original amount due to processing and bank charges.

• Payments past 30 days past the invoice date when product has been mailed will be billed a $20 late fee. Subsequent additional $20 fees will be added each additional 30 days. Returned checks will have a $30 fee for processing and bank charges.

• We do not re-fill Tibetan Supplements without either seeing you first or within a reasonable length of time between re-checks. This is an ethical issue, ensuring that as seasons and your internal condition may be changing, you have the right formulas. No formulas will be filled beyond six months without an in-person pulse examination by a certified degree qualified Menpa TMD (Tibetan physician).

• If you have not been seen in 3+ years you will need to be scheduled for a 1.5 hr re-check. If your forms have expired the required time HIPPA requires us to keep them, we may need to have you re-fill forms and schedule a 2 hr intake slot if it has been many years since we have seen you.

Tibetan Medicine is not yet licensed and regulated in America. Due to this Dr. Tsundu and Dr. Nashalla are NOT recognized as licensed doctors by the FDA, AMA or by any regulatory body within the USA. Therefore they cannot prevent, treat, prescribe, diagnose or cure any disease. They make their recommendations based only on ancient and time tested Tibetan Medicine principles and pathology.

Allopathic Medicine and Traditional Medicine can compliment each other during treatments and they encourage clients to work with both physicians in an open dialogue. Any treatment you pursue with these Doctors of Tibetan Medicine is done so at your own request and with the understanding that it is NOT a replacement for qualified care by a licensed medical physician.

We may refer you to seek out qualified and licensed health provider for your situation. If this happened it is becasue we feel your situation extendes beynd our scope of practice and that you need additional supprt and care. Please do take such recommendations seriously and follow up with any recommended testing or referrals. In some situations we will ask you to sign a paper indicating we have made such referrals and if you refuse to do so, we reserve the right to refuse continued care together until you have been seen by a qualified physician or health provider.

ACCEPTED FORMS OF PAYMENTS: As a small family business the high fee costs associated with both cards and cash apps made us reconsider cards etc. Due to these increased costs we currently only prefer to accept CASH and CHECKS, as the primary payments.

Cards, if needed for payments, will require that we pass the associated use fees onto you, the client. We do not use PayPal, Venmo or Zelle apps.