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About The Chiari Care Center

About the Chiari Care Center


Our Chiari program is comprised of a network of neurosurgeons, neurologists and other neurohealth professionals that work collaboratively to recommend the best plan of care for you. During your care you will be seen by our Nurse Practitioner at The Medical Center of Aurora, your neurologist in their office and in the neurosurgeons’ office (if needed). The Chiari Navigator will be your contact to guide you through the 5 step process listed below.

Chiari Care Center Treatment Process

Step 1 - Documentation Packet

If you have been diagnosed with Chiari, we require the following documentation before we can consider further screening of your neurological symptoms.

  1. A radiology (x-ray) report within the past 6 months that shows aChiari malformation
    • This can be an MRI of the brain or cervical (neck) spine that shows a Chiari malformation
  2. A completed referral request from your primary care/family physician or Neurologist
  3. Laboratory tests
    • C Reactive Protein (CRP-Cardiac)
    • Hemaglobin A1C (HbA1c)
    • Vitamin D (vitamin d 25-hydroxy)

Please fax the completed documentation packet to our Chiari Navigator at 303-671-4968 or e-mail to chiaricare@healthonecares.com. After all of the documents are received, the Chiari Navigator will call you to discuss next steps.


Step 2 - Nurse Practitioner Screening

If you qualify for further Chiari screening, the Chiari Navigator will schedule an appointment for you to be seen by our Nurse Practitioner at The Medical Center of Aurora for a wellness evaluation. Additional diagnostics will be ordered if needed.

Step 3 - Neurologist Evaluation

If you have a neurologist, our Chiari Navigator will help schedule a visit at their office.

If you do not have a neurologist, our Chiari Navigator will help schedule an appointment with one of our neurologists in the Chiari network. Additional diagnostics will be ordered if needed.

Step 4 - Case Conference

After the evaluations and additional diagnostics have been completed, the neurologist and Nurse Practitioner will review your case to determine the best plan of care for you. If you are a potential surgical candidate, your case will be discussed by the Chiari clinical team. This discussion is supervised by Dr. John Oro, however he is not your neurosurgeon.  After your case is discussed, your physician will contact you to discuss the best plan of care.

Step 5 - Neurosurgeon Consultation (if needed)

If the Chiari clinical team recommends you see a neurosurgeon for a consultation, that visit will be arranged by the Chiari Navigator. If you are a candidate for Chiari surgery, this will be coordinated by the Chiari Navigator.