New Patient Process 

Even before the COVID-19 crisis, Dr. Thomson was seeing many of her distance patients via telemedicine.  New patients were typically needing to travel to Bozeman for an in-person visit the first time.  Now, COVID-19 has made it more acceptable to see new patients via telemedicine, making it easier for patients across the country, and even internationally, to get the help they need.


We still see patients in the clinic, for IV therapy and blood draws as well as visits, as long as patients meet certain criteria: isolating, symptom-free, and/or test negative for COVID-19. 

A thorough health history, physical exam (as able over telemedicine, if that is the case), and records review are needed to do a complete evaluation of your individual case and give you specific treatments to get you feeling better.  Cookie-cutter medicine does not work well!  For this reason,  Dr. Thomson makes sure there is plenty of time in your visit to collect all the information needed, and for you to ask questions.  This means, depending on your condition, your first visit will take between 2 and 4 hours.  See below for visit types.

What to expect

As a new patient, you will be asked to complete a health history questionnaire via our electronic health record system called Charm, as well as a release of records form.  For those who suspect biotoxin illness, documents like an exposure history and a health history timeline (to provide details about your past exposure to environmental toxins or tick infections) are needed before your first visit.


During your visit, Dr. Thomson will decide if and what kind of lab tests are needed to further evaluate your case. A treatment plan will be provided to you, both in writing (for in-person visits) and posted to your electronic health record, where you'll always have access to it.

Visit Types

There are two main types of new patients at Trillium, based on your health issues:

  1. Biotoxin illness or complex, chronic conditions with many body systems involved. These visits require a longer period of time (3 to 4 hours) and often extensive records-review by the doctor.  If you come in person, it helps to bring a snack and a recording device or family member/friend to these visits. The office has water, electrolytes and tea available. 

  2. Less complex conditions such as hormone issues, fatigue, weight loss, digestive issues, headaches, allergies, mood disorders and similar conditions are scheduled for 2 hrs.

In-Office Treatments

New patients are often candidates for IV therapy or peptide therapy, and your individual needs will be discussed with Dr. Thomson during your first visit.