Your Essential Partner in CIRS Treatment
Professional whole-ecosystem environmental remediation services that enable successful outcomes for your Chronic Inflammatory Response Syndrome patients. Evidence-based protocols aligned with the Shoemaker Method — addressing the full indoor biofilm ecosystem, not just visible mold.
The Environmental Foundation of CIRS Recovery
CIRS is not a disease of the body alone — it is a disease of the relationship between a genetically susceptible person and their environment. Clinical interventions are essential, but they are most effective when the environmental biotoxin load is comprehensively addressed.
Continuous re-exposure from overlooked biofilm reservoirs — HVAC systems, appliances, plumbing, and dry surface biofilms — can undermine even the most carefully managed clinical protocol.
Understanding CIRS in Your Practice
Chronic Inflammatory Response Syndrome affects up to 25% of the population who are genetically susceptible to biotoxin illness. Many of your most challenging chronic cases may be undiagnosed CIRS.
The Hidden Epidemic
CIRS is a multi-system, multi-symptom illness triggered by exposure to biotoxins — most commonly from water-damaged buildings. Patients present with a confusing array of symptoms that often lead to misdiagnosis as Chronic Fatigue Syndrome, fibromyalgia, or other conditions.
You Can't Treat CIRS Without Addressing the Environment
Even the most carefully managed Shoemaker Protocol will fail if the patient continues to be re-exposed to biotoxins in their home or workplace. The environmental trigger must be eliminated — completely — before clinical interventions can hold.
Standard remediation companies address visible mold but miss the hidden biofilm reservoirs — HVAC systems, appliances, plumbing, and dry surface biofilms — that continue to re-expose your patient long after treatment begins.
New Mexico's only Certified Forensic Operators® — trained under Jeff and Lori Jones of Microbial Warrior® International, whose work is acknowledged in International Scientific Journals. We address the full indoor biofilm ecosystem: building envelope, HVAC, plumbing, appliances, and dry surface biofilms — with FIGSCDT fluorescence imaging to verify complete elimination.
Why Standard Remediation Leaves CIRS Patients Vulnerable
The conventional mold remediation industry is overlooking a major contributor to the problem. For the 25% of the population carrying HLA-DR/DQ genetic variants that impair biotoxin clearance, this gap is a significant reason why CIRS patients relapse at rates of 70–85% within 12 months of clinical treatment when their environment has not been comprehensively remediated.
Incomplete Source Identification
Standard companies address visible contamination but miss hidden colonies in wall cavities, HVAC ductwork, subfloor materials, and appliances. EnviroDecon's fluorescence imaging and thermal mapping reveal every reservoir.
Surface-Level Treatment
Standard protocols remove visible mold but leave mycotoxins in porous materials and biofilm matrices. Mycotoxins are chemically stable and are not removed by surface cleaning alone. EnviroDecon addresses the contaminated materials and the biofilm matrices.
Cross-Contamination Pathways
Mycotoxins travel with patients — in clothing, furniture, vehicles, and personal belongings. EnviroDecon's protocol includes guidance on decontaminating or discarding contaminated belongings and preventing re-contamination.
Dry Surface Biofilms: What Standard Inspection Cannot Detect
Most discussions of biofilm focus on wet environments. But one of the most significant and least understood biofilm threats in the indoor environment is the dry surface biofilm (DSB) — a distinct biofilm type that forms on surfaces with low moisture availability, including walls, floors, countertops, furniture, and high-touch surfaces throughout a building.
DSBs have been detected on more than 90% of surfaces in healthcare environments — including surfaces that have been routinely cleaned and disinfected. They are structurally distinct, highly resilient microbial communities specifically adapted to survive in harsh, dry conditions.
The clinical implication: A CIRS patient returning to a remediated space may be re-exposed not from a new moisture event or visible mold regrowth, but from dry surface biofilms that were present before remediation, survived the remediation process, and continue releasing biotoxins from surfaces that appear clean and test negative on standard inspection.
EnviroDecon's FIGSCDT fluorescence imaging technology is specifically designed to detect DSBs that are invisible to every other inspection method — revealing the hidden biofilm reservoirs on dry surfaces that standard remediation leaves in place.
Clinical Environmental Diagnosis
A structured diagnostic and documentation framework — developed exclusively by EnviroDecon — that bridges the gap between environmental contamination assessment and clinical CIRS treatment decisions. No other remediation company in New Mexico offers this.
Translating Environmental Findings Into Clinical Language
Standard remediation companies deliver a remediation report. EnviroDecon delivers a Clinical Environmental Diagnosis — a structured document that translates FIGSCDT fluorescence imaging findings, ERMI/HERTSMI-2 scores, and biofilm mapping data into the clinical language your Shoemaker Protocol requires.
This means your patient arrives at their next appointment with a document you can act on — not a contractor's report you have to interpret. The Clinical Environmental Diagnosis specifies contamination type, distribution, severity index, and clearance status in the same framework the Shoemaker Protocol uses to stage treatment.
Our Certified Forensic Operators® training — under Jeff and Lori Jones of Microbial Warrior® International, acknowledged in International Scientific Journals — gives us the clinical vocabulary to produce documentation that integrates directly with the Shoemaker Protocol. No other remediation company in New Mexico holds this certification or produces this class of documentation.
Grounded in Peer-Reviewed Science
The Economics of Getting the Environment Right the First Time
When the environmental trigger is not fully eliminated, CIRS treatment fails — and the patient cycles back through the diagnostic and treatment process. Clinical Environmental Diagnosis breaks that cycle by ensuring the environment is cleared to clinical standards before treatment advances.
When to Refer Your Patient to EnviroDecon
Use this four-question framework to identify patients who need a Clinical Environmental Diagnosis before advancing their Shoemaker Protocol treatment.
Refer for Clinical Environmental Diagnosis. Persistent re-exposure is the most common cause of treatment-resistant CIRS. Standard remediation may have cleared visible mold while leaving DSBs and HVAC biofilm reservoirs intact.
Refer for re-assessment. Most standard remediation does not include ERMI testing or fluorescence imaging. A prior 'clean' report from a non-specialized company does not constitute clinical clearance.
Refer for proactive environmental assessment. Genetically susceptible patients cannot clear biotoxins without complete environmental elimination. Even low-level ongoing exposure prevents recovery.
Refer for clearance documentation before return. A Clinical Environmental Diagnosis clearance report provides the verification needed to safely advance the patient to the next treatment stage.
Dedicated provider line: (505) 572-0100 · [email protected]
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“The Clinical Environmental Diagnosis framework was developed to give clinicians what they actually need — not a contractor’s report, but a clinical document that integrates directly with the Shoemaker Protocol staging system. Every EnviroDecon remediation produces documentation you can place in the patient’s chart and act on immediately.”
Complimentary 20-minute clinical consultation — discuss your CIRS patient cases directly.
Trusted by New Mexico Clinicians
Functional medicine, naturopathic, and integrative practitioners across New Mexico rely on EnviroDecon's Clinical Environmental Diagnosis documentation to advance patient recovery.
“For the first time, I had a remediation report I could actually use clinically. The documentation mapped directly to my patient's biomarker trajectory — TGF-β1 dropped 40% within 60 days of EnviroDecon's clearance. That kind of correlation is unprecedented in my practice.”
“My CIRS patients were cycling through remediation companies for years with no lasting results. EnviroDecon's FIGSCDT imaging identified biofilm reservoirs that three previous inspections had completely missed. Two of my most complex cases achieved Shoemaker Protocol Stage 3 within four months of their remediation.”
“The Clinical Environmental Diagnosis framework changed how I approach the environmental piece of CIRS treatment entirely. The pre/post imaging documentation is something I can present to patients, insurance reviewers, and referring physicians with full confidence. It's the clinical standard this field has needed.”
* Testimonials shown are representative placeholders. Replace with verified provider statements before publishing.
How to Refer a Patient to EnviroDecon
The referral process is designed to be frictionless for your practice. From initial contact to post-remediation reporting, every step is coordinated around your patient’s clinical timeline.
Identify the Environmental Trigger
In your officeUse the 4-question Clinical Decision Framework to determine whether an environmental assessment is indicated. Key signals: patient with confirmed or suspected CIRS, persistent symptoms despite treatment, history of water-damaged building exposure, or positive Visual Contrast Sensitivity (VCS) test.
Download the Clinical Decision Framework one-pagerContact Our Medical Director
Same day — 20 minutesCall our dedicated provider line or submit the consultation form below. Our Medical Director will review the patient's clinical picture with you — including relevant biomarkers (TGF-β1, C4a, MSH), symptom cluster, and suspected exposure source — before any site visit is scheduled.
Call (505) 572-0100 or submit the form belowSchedule the Environmental Assessment
Within 48–72 hoursWe coordinate directly with your patient to schedule the FIGSCDT fluorescence imaging and FIGACDT airborne analysis at their home, workplace, or any suspected exposure site. Your patient does not need to be present — we work around their schedule.
Download the Provider Referral FormReceive the Clinical Environmental Diagnosis Report
Within 5–7 business daysYou receive a physician-grade Clinical Environmental Diagnosis (CED) Report — formatted for direct integration with the Shoemaker Protocol staging system. The report includes pre-remediation imaging, airborne biotoxin quantification, biofilm mapping, and a remediation recommendation with projected patient impact.
View a sample CED ReportRemediation Proceeds — You Stay Informed
1–5 days on-siteOur Certified Forensic Operators® execute the remediation protocol. You receive a mid-process update if any unexpected findings emerge that may affect the patient's treatment plan. Your patient is not required to vacate during most remediation phases.
Post-Remediation Verification & Clearance Documentation
Delivered to your officePost-remediation FIGSCDT and FIGACDT imaging confirms complete biotoxin elimination. You receive a Clearance Documentation Package — including before/after imaging, air quality data, and a signed verification statement — ready to place in the patient's chart and use as Shoemaker Protocol Step 1 completion documentation.
Request a sample Clearance PackageOur CIRS Remediation Services
Environmental Assessment
- FIGSCDT fluorescence imaging — detects hidden biofilm ecosystems and dry surface biofilms
- Real-time InstaScope™ detection (no 3–5 day lab wait)
- EnviroDecon AI-Powered IAQ Analysis (Powered by Sporecyte) — AI-driven air and surface mold analysis
- ERMI and HERTSMI-2 testing — available at physician request
- Comprehensive moisture and mold inspection
- Detailed photographic documentation and written reports for clinical records
Whole-Ecosystem Remediation
- Building envelope: walls, cavities, crawl spaces, attics
- HVAC systems: evaporator coils, condensate pans, air ducts
- Plumbing & appliances: washing machines, dishwashers, refrigerators, drains
- Dry surface biofilm treatment on walls, floors, and high-touch surfaces
- Military-grade biofilm treatment: 99.99999% kill rate for biofilms and mycotoxins
Post-Remediation Verification
- Post-remediation FIGSCDT fluorescence re-imaging
- EnviroDecon AI-Powered IAQ Analysis clearance confirmation
- Clearance certificate for patient records
- Ongoing monitoring recommendations
- Regulatory compliance documentation
The Provider Partnership Process
Provider Referral
You identify a CIRS patient who needs environmental assessment. Submit a referral through our secure provider portal or call our dedicated provider line.
Whole-Ecosystem Assessment
Our Certified Forensic Operators® conduct a comprehensive environmental inspection using FIGSCDT fluorescence imaging — mapping hidden biofilm reservoirs across the building envelope, HVAC, plumbing, appliances, and dry surfaces.
Detailed Reporting
You receive a comprehensive report documenting all findings, including AI-Powered IAQ Analysis data, biofilm reservoir mapping, and photographic evidence — formatted for clinical records. ERMI/HERTSMI-2 data is included when ordered by the referring provider.
Whole-Ecosystem Remediation
Our team implements targeted remediation protocols aligned with the Shoemaker Method, eliminating biotoxin sources across every reservoir category — not just the building envelope.
Verification Testing
Post-remediation FIGSCDT fluorescence re-imaging and EnviroDecon AI-Powered IAQ Analysis confirms the environment is safe. We provide clearance documentation for your clinical records. ERMI/HERTSMI-2 testing is performed at physician request.
Patient Recovery
With the full environmental biotoxin load comprehensively addressed, you can successfully implement the Shoemaker Protocol for lasting patient recovery.
Why the Environment Is the Treatment
Chronic Inflammatory Response Syndrome is not a diagnosis of exclusion — it is a genetically mediated, environmentally triggered inflammatory cascade with measurable biomarkers and a defined treatment protocol. Understanding the underlying biology is essential to understanding why environmental remediation is not optional: it is the prerequisite for all other interventions to work.
From Exposure to Systemic Inflammation
Interrupting the Cascade at the Source
Serving New Mexico Healthcare Providers
We're proud to partner with functional medicine, naturopathic, integrative, and environmental medicine practitioners throughout New Mexico — from Albuquerque to Santa Fe and beyond. Our team understands New Mexico's unique climate and building challenges that contribute to CIRS.
The Only CFO® Certified Remediators in New Mexico
As New Mexico's only Certified Forensic Operators® — trained under Jeff and Lori Jones of Microbial Warrior® International, whose work is acknowledged in International Scientific Journals — we bring a level of scientific rigor that general contractors cannot match.
Schedule a Provider Consultation
Let's work together to provide your CIRS patients with the comprehensive environmental foundation they need for successful recovery. We'll contact you within 24 hours.
Provider Consultation Request
Related Services & Programs
Doctor Referral Program
Refer a specific patient for environmental assessment. Specialty-specific forms for rheumatology, functional medicine, and more.
CIRS Patient Resources
Resources for patients navigating CIRS diagnosis and remediation — including what to expect and how to prepare.
Our Credentials
Review EnviroDecon's full certification portfolio — CFO®, Microbial Warrior®, and more.
CIRS Remediation Referral One-Pager
A single-page clinical summary covering the whole-ecosystem biofilm protocol, the referral process, key CIRS biomarkers (Shoemaker Panel), and documentation provided to your office. Formatted for printing and keeping on file.
- Why standard remediation fails CIRS patients
- Four biofilm reservoir categories
- 7-step EnviroDecon protocol
- 5-step referral workflow
- Shoemaker Panel biomarker reference
- Documentation provided to clinical records
Free · No sign-up required
17-section clinical white paper on biotoxin illness, biofilm science, and the CED framework. Instant access.
1-page clinical decision framework — proceed vs. test, $2,075–$3,025 patient savings, medical precedent. Print-ready.
Side A: Red flags, symptom clusters, biomarker panel. Side B: 7-step process, intake checklist, referral script.
CIRS Clinical Resources
Peer-reviewed research, clinical protocols, and practitioner tools supporting the diagnosis and environmental remediation of Chronic Inflammatory Response Syndrome. All links open in a new tab.
Foundational Science & Protocol
Surviving Mold — Dr. Ritchie Shoemaker
The primary clinical reference for CIRS diagnosis and the Shoemaker Protocol. Includes the 11-step treatment sequence, biomarker panels, and environmental remediation requirements.
survivingmold.comCIRS Consensus Statement (2010)
Shoemaker et al. peer-reviewed consensus statement on the diagnosis, treatment, and management of CIRS from water-damaged buildings.
Consensus Statement PDFBiotoxin Pathway (Shoemaker)
Visual diagram of the full CIRS biotoxin pathway — from HLA-DR susceptibility through innate immune activation, cytokine dysregulation, and downstream organ effects.
Biotoxin Pathway OverviewCIRS Practitioner Training (ISEAI)
International Society for Environmentally Acquired Illness — training, certification, and clinical resources for practitioners treating CIRS and environmentally acquired illness.
iseai.orgDiagnostic Tools & Screening
VCS (Visual Contrast Sensitivity) Test
Free online screening tool for neurotoxin-related visual processing deficits. A positive VCS test is one of the earliest and most accessible indicators of CIRS.
VCS Test & ExplanationERMI Testing — EPA Methodology
Physician-ordered testEnvironmental Relative Moldiness Index — the EPA-developed DNA-based dust test that quantifies 36 mold species. A physician-ordered diagnostic tool; EnviroDecon performs ERMI testing at the request of the patient's healthcare provider.
EPA Mold Remediation GuideHERTSMI-2 — Physician-Ordered Screening
Physician-ordered testThe Health Effects Roster of Type-Specific Formers of Mycotoxins and Inflammagens — a simplified 5-species scoring system derived from ERMI. A physician-ordered tool; EnviroDecon performs HERTSMI-2 testing at the direction of the referring provider.
HERTSMI-2 ReferenceCIRS Biomarker Panel Reference
Key biomarkers used in CIRS diagnosis: TGF-β1, C4a, MSH, VEGF, MMP-9, VIP, and ADH/osmolality. Reference ranges and clinical interpretation guidance.
Lab Test ReferenceBiofilm Science & Environmental Remediation
Dry Surface Biofilms in Healthcare Settings
Peer-reviewed research on dry surface biofilms (DSBs) — how pathogens persist on dry surfaces for months, resist standard cleaning, and contribute to chronic re-exposure in CIRS patients.
PMC: Dry Surface Biofilm ResearchMycotoxin Persistence in Buildings
Research documenting how mycotoxins persist in building materials, HVAC systems, and household dust long after visible mold is removed — the core reason standard remediation fails CIRS patients.
PubMed: Mycotoxin PersistenceIICRC S520 Mold Remediation Standard
The industry standard for professional mold remediation. EnviroDecon's protocols meet and exceed S520 requirements, with additional CIRS-specific whole-ecosystem treatment layers.
IICRC S520 StandardEPA Mold Remediation in Schools & Commercial Buildings
EPA guidance on mold assessment and remediation — useful for providers advising patients in commercial, school, or workplace settings.
EPA Mold Remediation GuidePatient Education & Support
CIRS Patient Overview (Surviving Mold)
Plain-language explanation of CIRS for patients — what it is, why some people are susceptible, and the role of the home environment in recovery.
What Is CIRS? (Patient Guide)Mold Illness Made Simple — Dr. Neil Nathan
Dr. Neil Nathan's accessible overview of mold illness and CIRS for patients and practitioners — a useful handout for newly diagnosed patients.
Toxic: Heal Your Body (Book)CIRS Support Community (Facebook)
Large patient community for CIRS/mold illness — useful to recommend to patients seeking peer support during the remediation and recovery process.
CIRS Support GroupEnviroDecon CIRS Patient Service Page
Our patient-facing CIRS remediation page — share this with patients to explain the whole-ecosystem remediation process, what to expect, and how to get started.
CIRS Remediation (Patient Page)Know of a peer-reviewed study, clinical tool, or patient resource we should include? We review all suggestions and update this page regularly.
Surface and airborne clearance without duct inspection is an incomplete remediation protocol for CIRS patients. Contaminated ductwork is the most common cause of symptom recurrence after remediation. The EnviroDecon CIRS Complete Protocol requires VD-FID forensic duct inspection and AirVerify™ post-cleaning air quality clearance before any physician-reviewed clearance report is issued. This step cannot be waived.
EnviroDecon Inspects Ducts In-House
Unlike remediation companies that subcontract duct cleaning, EnviroDecon performs forensic duct inspection and cleaning in-house using proprietary technology — with before/after documentation included in every clearance report.
Triple-mode forensic ductoscope: white-light HD, UV 365/405 nm fluorescence (detects biofilm and mold colonies invisible to standard inspection), and thermal/IR (detects hidden moisture and water intrusion). Every inspection produces timestamped, chain-of-custody video documentation that is Daubert-compliant and court-admissible.
- Biofilm and mold colonies invisible to standard inspection
- Thermal/IR moisture and water intrusion mapping
- Court-admissible chain-of-custody documentation
- Required step in CIRS Complete Protocol
Real-time on-site measurement of mold spores, bacteria, VOCs, PM2.5, CO₂, and humidity before and after every duct cleaning. Results in minutes, not days. For CIRS patients, AirVerify™ post-cleaning clearance is required before the physician-reviewed clearance report is issued. NADCA ACR-compliant documentation included.
- Mold spores, bacteria, VOCs, PM2.5, CO₂, and humidity
- Before/after timestamped reports — results in minutes
- Required for CIRS Complete Protocol clearance report
- NADCA ACR-compliant documentation
We Connect Patients With CIRS-Literate Providers
Many patients who contact EnviroDecon do not yet have a treating physician. We maintain a referral list of CIRS-literate practitioners across New Mexico — including functional medicine physicians, naturopathic doctors, integrative medicine providers, and environmental medicine specialists — and we connect patients with appropriate providers as part of our intake process.
If you are a CIRS-literate provider in New Mexico and would like to be included in our referral network, please reach out. We are actively building relationships with practitioners who share our commitment to whole-ecosystem, evidence-based CIRS care.
Schedule Your Free Provider Consultation
Pick a time that works for you — a certified EnviroDecon specialist will meet you at no obligation.