
Tendril's Clinical Formulation Network offers custom herbal compounding, clinical herbal consultation, and provider-to-provider collaboration — available to licensed practitioners across all disciplines.
Practitioner-apothecary partnerships are a well-established model in integrative medicine. Programs like these have been operating successfully across North America for decades, providing practitioners with access to professional-grade compounding and clinical herbal expertise without requiring them to maintain a full dispensary.
Tendril's Clinical Formulation Network was developed in direct response to interest from practitioners in the Sandpoint region who wanted this kind of resource available locally. It provides access to custom herbal compounding, clinical formulation consultation, and provider-to-provider collaboration — structured across three service pathways to accommodate different levels of practitioner involvement.
All preparations are compounded fresh to order using premium-grade botanicals. Every referral involving client consultation includes a structured written summary returned to the referring practitioner.
"As far as we know, there is no other service quite like this in the region — a structured, three-pathway clinical formulation partnership at this level of professional coordination. We are glad to make it available to practitioners here."

Laura Clemmons, CH, MNIMH
Lead Clinical Herbalist, Tendril Apothecary
What practitioners typically find useful about the network:
Practical information about how the network operates, how referrals are handled, and what practitioners can expect.
Every referral involving client consultation begins with a complete medication and supplement review. Our clinical herbalist screens each formulation against the client's full pharmaceutical profile before compounding. Written confirmation of this screening — and any adjustments made — is included in the summary returned to the referring practitioner.
No. The network functions as a compounding and consultation resource for your practice. We do not solicit, retain, or independently market to referred clients. The therapeutic relationship you have established with your client remains yours.
After every client consultation, the referring practitioner receives a structured written summary: the formula, the clinical rationale, dosage instructions provided to the client, and any follow-up recommendations. This document is formatted for direct inclusion in the client's chart.
Pathway 1 (custom compounding) requires only a completed compounding order — no further involvement needed. For Pathway 2 referrals, the intake, research, and follow-up are handled by Tendril. The referring practitioner receives a written summary upon completion. Pathway 3 (provider-to-provider) is a direct clinician consultation scheduled at your convenience.
Laura Clemmons holds membership in the National Institute of Medical Herbalists (UK) and brings over 23 years of advanced clinical practice. Meryl Kastin is a graduate of the Southwest School of Botanical Medicine with over 40 years of compounding and wildcrafting experience. Together they represent more than 60 years of dedicated botanical study and clinical application.
All botanicals are sourced from vetted, premium suppliers. Every preparation is compounded fresh to order — not pre-bottled or shelf-stocked. Meryl Kastin oversees all compounding and has previously supplied commercial herb companies to the same standard of potency, purity, and efficacy.
The network is structured to accommodate different levels of practitioner involvement — from a straightforward compounding order to full clinical co-management of complex cases.
For practitioners who design their own formulas and need a skilled compounder to execute them using premium-grade botanicals. Submit a compounding order specifying herbs, ratios, preparation type, and dosage. Tendril compounds and dispenses to your client directly or to your practice.
Available to: Herbalists, NDs, and practitioners with botanical training who need a compounding partner.
Practitioners refer clients directly to Tendril for a herbal consultation. Our clinical herbalist conducts a full intake, designs a custom herbal protocol, and returns a structured written summary to the referring practitioner. Four tiers are available based on case complexity — expand each for details.
For straightforward, uncomplicated presentations — seasonal support, mild digestive complaints, basic immune protocols, common sleep issues — where a brief intake and targeted formulation is appropriate. Suitable for cases with no significant medication interactions and no complex health history.
Examples: Seasonal allergy support, mild insomnia, acute immune support, basic digestive complaints, blood pressure support.
Available to: Any licensed practitioner who wants herbal medicine available as part of a client's care plan.
For practitioners who want to remain the primary point of contact for their client and prefer direct clinical consultation with a specialist herbalist. Laura functions as a botanical specialist resource — reviewing the case, providing formulation recommendations, screening for interactions with existing treatments, and supporting clinical decision-making. The client is not seen by Tendril under this pathway.
Available to: MDs, NDs, PAs, DCs, and other licensed practitioners managing cases where botanical medicine is under consideration.

"Every preparation is compounded fresh to order, using premium-grade botanicals and over six decades of combined formulation experience."
Together, Laura and Meryl bring more than 60 years of combined botanical study, clinical practice, and compounding expertise to every formulation.

Lead Clinical Herbalist & Practitioner Liaison
A Member of the National Institute of Medical Herbalists (UK) — the world's oldest professional herbalism body — Laura holds over 23 years of advanced clinical experience. She has served as a botanical formulator on integrative medical teams and is a sought-after educator at herbal medicine conferences across North America. Laura serves as the primary point of contact for all provider-to-provider consultations and complex case referrals.

Master Formulator & Medicine Maker
A graduate of Michael Moore's Southwest School of Botanical Medicine, Meryl brings over 40 years of expertise in botanical compounding, wildcrafting, and cultivation. She has formulated and supplied premium botanicals for major commercial herb companies and oversees all preparations at Tendril. Every custom protocol is compounded to her standards of potency, purity, and efficacy.
Tendril does not solicit, retain, or independently market to any client referred through the network. Our relationship is with the referring practitioner. Referred clients are not enrolled in any Tendril marketing list without separate, explicit consent.
After every Pathway 2 or Pathway 3 consultation, the referring practitioner receives a structured written summary documenting the formula, clinical rationale, dosage instructions provided, and any follow-up recommendations. This document is formatted for chart inclusion.
All preparations are compounded fresh to order using premium-grade botanicals sourced from vetted suppliers. Meryl Kastin oversees all compounding. No pre-bottled or shelf-stocked formulas are dispensed under the network.
"I have had the pleasure of working with Laura Clemmons and consistently find her approach to herbal medicine to be thoughtful, evidence-informed, and grounded in high-quality training. As a physician, I particularly value her commitment to collaboration — she communicates openly and ensures I am aware of any herbal preparations our shared patients are using. This level of coordination is essential for patient safety and optimal care. I frequently refer patients to Laura knowing they will receive individualized, responsible guidance. She is a trusted partner in supporting patients who are seeking an integrative approach to their health."
Physician, MD
Network Partner — Name withheld pending permission
Doctor of Chiropractic
Testimonial pending
Physician Assistant
Testimonial pending
Naturopathic Doctor
Testimonial pending
The Clinical Formulation Network is designed as more than a referral arrangement. Over time, we aim to support a regional community of practitioners who share resources, consult on complex cases, and collaborate across disciplines in service of their clients.
Practitioners who join now are part of establishing what that looks like in this region.
Submit your information and we will follow up within one business day to discuss how the network can support your practice.