We currently have three PCPs in the clinic: Dr. Meigs, Dr. Kale, and Morgan Sloan, FNP. Dr. Worden does not serve as a primary care provider (PCP) for any patients. If you are wanting to have functional medicine care with Dr. Worden, you will need to maintain an active relationship with a PCP for non-functional medicine needs, such as routine screenings (such as pap smears, colonoscopies, and prostate exams), as well as for urgent medical needs, acute care, or hospitalization. We are happy to collaborate with your PCP and any specialists involved in your care to ensure coordinated support. Please note: Dr. Meigs and Dr. Kale are not accepting new patients with Medicare, Medicare Advantage, or Medicaid plans at this time.

If you would like to become a new patient, you will need to complete new patient forms and return them before you can schedule your first appointment. Our new patient coordinator will help guide you through the new patient process. Please call or text to (503) 831-9231 and let us know your name, phone & email, and which provider you are interested in seeing. Note: we do not have a receptionist answering the phone but your call or text will be transcribed and our team will transfer to the appropriate provider new patient coordinator. ​ For patients interested in seeing Dr. Worden for functional medicine, please see the information regarding the membership program as she is currently only accepting new patients through the BFM Membership program. For patients interested in seeing Pam Rathbone, CWHNP or Morgan Sloan, FNP, please contact Aura Integrative Health directly.

A micropractice is a small, independent medical practice that operates with minimal staff and overhead. By using efficient technology and streamlining administrative processes, micropractices reduce operating costs—which allows our physicians to spend more time with each patient and build meaningful, long-term relationships. At Bloom Functional Medicine, this model gives us the freedom to prioritize your care—not insurance quotas or corporate metrics. It also helps us remain financially sustainable which reduces the risk of needing to sell or close our doors. Private practice is increasingly difficult to maintain due to rising administrative costs, declining insurance reimbursement, and the burden of regulatory compliance. Maintaining a "Micropractice" model allows us to remain independent, protect the integrity of our care model, and stay focused on what matters most: your health and healing. If you're looking for a more personal, relationship-centered medical experience—you're in the right place.

Most office visits with our providers—including functional medicine visits, osteopathic manipulation (OMT), frequency-specific microcurrent (FSM), group visits, and telemedicine—are typically covered by in-network insurance as standard medical care. However, some services may not be covered by your individual insurance plan. We will ask for payment at the time of service for non-covered services and for those with out of network insurance. We encourage you to verify your benefits directly with your insurance provider to understand what is included in your plan. Ultimately, it is your responsibility to confirm coverage and any potential out-of-pocket costs prior to your visit.

Televisits are available to all patients but patient must be located, at the tiem of the visit, in Oregon (Dr. Kale) or Oregon/Washington (Dr. Worden & Meigs only) due to state licensure restrictions. New patient appointments are done in person only. Note: You will want to check with your insurance for coverage of televisits. (Medicare may be stopping all payments for televisits fall 2025)

Group visits are "shared medical appointments" typically 6-8 individuals to dive deeper into conditions and treatment options to help you meet your health and wellness goals. They are either cash pay (class) or visit billed to insurance with copay/deductible/co-insurance

If you are not able to see Dr. Worden, then she recommends trying these websites to find a provider: To find a functional medicine provider, please go to IFM.org To find a "Mold Literate" provider to help with mold/environmental illness, please go to Dr. Neil Nathan's website, Dr. Jill Crista's website or ISEAI.org To find a provider who works with patients with Ehlers Danlos Syndrome (EDS) see The Ehlers-Danlos Society Find a provider website.

Unfortunately Dr. Worden is likely not in network with any Oregon Medicaid plans at this time and we do not have a bundled cash pay membership available at this time where we can be reimbursed for care. Please watch for updates in the future as we are hoping to be able to find a way for medicaid patients to see Dr. Worden.

Functional medicine requires time, attention, and personalized support—far beyond what insurance typically reimburses. The membership model allows us to: Offer extended visits, personalized messaging, and care coordination Limit our panel size so you get timely, relationship-based care Include services, tools, and therapies that insurance does not cover Continue accepting insurance for covered services while remaining sustainable Without this model, many functional medicine clinics shift entirely to cash-pay. At Bloom, we are committed to keeping care accessible by maintaining insurance billing while using membership to support the additional care our patients need. So yes, membership is mandatory for all functional medicine patients.

No. Membership starts on the day of your first visit with Dr. Worden. This will allow you to decide if working with Dr. Worden is truly what you want to do, before you spend any money on a membership you may choose not to utilize.

Membership cost is $49 to $249 per month depending on which tier of membership the patient is at. We do offer discounts for pre-paid memberships to help save on cost.

No, we will continue to bill your insurance (or cash pay if out of network) for office visits. This includes in person office visits, televisits, e-visits and group visits. Your patient responsibility will still be due based on contracts with your insurance company or our cash pay fee schedule if you are out of network.

For our patients using Commercial insurance (or cash pay) for visits, they will be under the C-Commercial tier and those using Medicare, Medicare Advantage or Medicaid insurance, their membership will be S-Silver tier. Note, for any insurance that we are out of network with, they will be cash pay rate, except for Medicaid patients.

The membership fees are for services outside of standard office visits. Please see this list of membership benefits for a complete list of what is included with each membership tier. Membership Benefits

Memberships will be charged using your credit card on file automatically. If you choose to prepay, you may prepay with either a credit card, check or cash. If you choose to not have a card on file, memberships must be prepaid with cash or check. If you choose to prepay your membership fees, there are discounts available. If you pay for 3 months in advance, there is a 10% discount. If you prepay for 6 a month membership, there is a 20% discount.

Memberships require a minimum three-month commitment. Cancellations requested before the end of the initial term are not eligible for a refund. You can upgrade your membership to a higher tier at any time but you must be at that tier for at least 3 months before you cancel or downgrade. After the initial 3 month term, you can extend or change on a month by month basis.

Your membership tier is based on the anticipated complexity of your care, taking into account your health conditions, treatment needs, and visit frequency and determined by Dr. Worden during your initial appointment. At your initial visit, after she has reviewed your records and met with you, she will then discuss what is the appropriate tier to begin membership at. All new patients will start at either Tier 2 or Tier 3. Once you have the discovery phase (testing, work-up, establishing treatment plan, etc) and are stable on treatment plan, then most patients transition down to Tier 2 or 1.

In the event that you will not be able to continue care under Dr. Worden due to extenuating circumstances such as moving to a state in which Dr. Worden is not licensed or insurance change that would not allow coverage for visits with Dr. Worden, please discuss this directly with Dr. Worden. We are willing to be flexible and accommodate such circumstances.

Pausing or Canceling Your Membership If you’d like to pause or cancel your membership, please submit a written request through the patient portal, email, or text message. If you choose to pause your membership, we will switch your account to Pause status. This allows you to maintain your place in the practice and resume care with Dr. Worden at any time—without losing your spot. If you choose to cancel your membership, we will end your membership and stop all future billing. Please note that if you wish to return to the practice in the future, you will need to wait for an opening in Dr. Worden’s panel. We understand that many patients reach a stable point in their care and may wish to take a break. The Pause membership option was created specifically for this purpose and offers a flexible way to step away while keeping the door open to return. Important Reminders: Once your membership is paused or canceled, active care with Dr. Worden concludes. You will no longer have access to: Office visits Portal messaging Lab orders Prescription refills Paused members may restart their membership at any time. Canceled members must wait for a future opening if they wish to rejoin the membership. Note: Membership fees are non-refundable.

Yes, all patients who have registered with Fullscript, Doctor's Supplement Store, Pure Caps Pro or have the link to order from other supplement companies, will continue to have access to order, what will change however is that you will no longer have a membership discount offered on supplements.