Annual Naturopathic Complete Depth Session – 1.5 Hours In just 90 minutes, experience the most comprehensive, once‑a‑year health review designed to fine‑tune every aspect of your well‑being. Perfect for out‑of‑area patients or those wanting a single, thorough visit, this session blends in‑depth history, complete physical exam, lab and imaging orders, and a full review of your diet, supplements, and lifestyle. Renew or adjust all prescriptions, optimize nutrition, and, if needed, initiate or refine bioidentical hormone therapy for peak balance and vitality. Together, we’ll create a clear, customized plan to prevent illness, boost energy, and support your unique health goals over the year ahead. Leave with an actionable roadmap for feeling your best—body, mind, and spirit—until your next annual check‑in.

$600+90 min

As Okanogan County’s longest‑practicing physician, Dr. Sierra has earned profound trust for her ability to blend conventional medicine with holistic care, addressing each patient’s unique health challenges. She offers an extensive range of natural strategies to restore emotional, physical, and spiritual resiliency. To make the most of your visit, it’s best to bring all prior labs from other physicians and health centers. Once you request an appointment, Dr. Sierra will send you a secure electronic link to complete all intake forms online in advance, with the option to upload relevant records directly. This ensures she has a complete view of your health history before you arrive. Dr. Sierra is skilled at partnering with you to identify the direction you most want to explore, focusing on the areas most relevant to your goals while providing a deeply personalized, integrative plan that supports lasting well‑being.

$250+60 min

At this comprehensive visit, Dr. Sierra brings together every piece of your health puzzle—your history, imaging, lab results, and consultations from other specialists—into one clear, actionable plan. Whether your appointment follows recent lab work, radiology, or visits with an oncologist, endocrinologist, or GI specialist, Dr. Sierra expertly integrates those findings with her own therapeutic recommendations, targeted dietary guidance, and prescriptions for both natural and pharmaceutical support. You’ll leave with confidence, armed with a specific, personalized roadmap for improving your health. With her unique ability to connect the dots between conventional medicine and natural strategies, Dr. Sierra fills in the gaps and augments your care from a holistic perspective, ensuring that nothing is overlooked and every opportunity for healing is explored.

$250+60 min