Membership at Sequoia Medical 360

A long-term, specialist-led partnership in proactive longevity care, integrating metabolic, endocrine, and preventive cardiovascular expertise.

Executive Briefing ○
MEMBERSHIP STRUCTURE

○ How the clinical retainer supports year-round proactive management.
○ The tiered model and when higher-touch governance is appropriate.
○ How strategy, follow-through, and coordination are maintained across complex care.

How We Partner With You

Evergreen membership begins with a structured onboarding and a comprehensive annual evaluation. From there, strategy sessions are scheduled based on your physiology, priorities, and time constraints. While risk factors are uncontrolled, visits may be as frequent as monthly. Once stability is established, the typical cadence is quarterly.

Between visits, you have direct access to Dr. Mathews via text, cell, and the patient portal. Communication is guided by good judgment and clinical context. For urgent concerns, members use the fastest appropriate channel. For non-urgent questions, portal messaging keeps the thread organized.

Care is individualized, not templated, to your needs and goals. You can decline any component of the assessment.

View the Patient Journey →

The Family Health Office Model

Integrated assessments and coordination

Your initiation and annual reset may include coordinated assessments with vetted clinical partners. Findings are synthesized into one coherent strategy so care stays aligned over time.
Read about The Ecosystem →

Evergreen membership

Evergreen is the foundation of ongoing membership at Sequoia Medical 360. You receive an unrushed annual evaluation, physician-led strategy visits across the year, and continuous interpretation that integrates metabolic, endocrine, and cardiovascular risk into one coherent plan.

Your retainer covers ongoing counsel, expertise, and diagnostic oversight. Laboratory testing, imaging, and procedures are billed by the performing facility or processed through insurance when eligible.

The Evergreen Experience

A unified, specialist-led approach to long-term prevention, performance capacity, and cardiometabolic risk.

01.
Comprehensive Annual Evaluation

An unrushed baseline that establishes your roadmap for the year ahead.

○ Defines physiology, risks, and priorities in context.
○ Incorporates objective markers as appropriate, including body composition, metabolic trends, fitness performance, and selective advanced imaging or early detection screening when clinically indicated.
○ Produces a clear plan to guide decisions, testing, and interventions over time.

02.
Ongoing Strategy Visits and Direct Physician Counsel

Your plan is refined through scheduled follow-ups and between-visit guidance.

○ Strategy visits are typically quarterly
○ When risk factors are uncontrolled, visits may occur monthly.
○ Between visits, you have direct access via text, cell, and the patient portal.

03.
Nutrition Integration & Metabolic Strategy

Nutrition is treated as a clinical lever, aligned to diagnostics and real life.

○ Dietitian-guided sessions aligned with labs and CGM when appropriate.
○ A sustainable metabolic strategy that supports energy, body composition, and risk reduction.
○ Practical execution over rigid rules.

04.
Performance & Recovery Strategy

A unified approach to physical capacity and recovery.

○ Baseline and periodic assessment of fitness and strength, including VO₂ max when physically appropriate.
○ Sleep, stress, and recovery are integrated as clinical variables.
○ Adjustments designed to protect training capacity and reduce injury risk.

05.
Diagnostics & Continuous Data Integration

Targeted diagnostics and ongoing data guide decisions, not noise.

○ Advanced labs and imaging incorporated selectively when they add clinical clarity.
○ Wearables and continuous data translated into meaningful trends.
○ Results synthesized into actionable priorities and course corrections.

06.
Therapeutics & Physician-Led Integration

Interventions are managed with precision so recommendations fit one coherent plan.

○ Medications and supplementation used thoughtfully and reassessed over time.
○ Emerging therapeutics discussed only when clinically grounded and aligned with diagnostics and goals.
○ Outside specialist opinions integrated through a unified lens to maintain continuity and clarity.

The Sequoia

An invitation-only tier reserved
for a select group of members.

The Sequoia is an invitation-only tier reserved for a limited number of members whose circumstances call for deeper physician partnership. It is not open for public enrollment. When appropriate, eligibility is discussed privately over the course of an Evergreen relationship.

Offered selectively. Discussed privately.

What Membership Is Not

Clarity on boundaries, so expectations stay aligned.

  • Not just a one-day evaluation.
    This is longitudinal care. Insights compound over time, and strategy is refined as your physiology and life change.
  • Not fragmented specialty handoffs.
    When additional expertise is needed, we coordinate and integrate outside inputs into one coherent strategy so care stays aligned over time.
  • Not protocol-driven medicine.
    We do not rely on generic regimens. Decisions are individualized, grounded in diagnostics, judgment, and longitudinal context.
  • Not an urgent care or procedural clinic.
    You have direct access for timely guidance and coordination. Acute emergencies and procedures are handled through the appropriate facilities, and we help you navigate the right next step.
  • Not a substitute for insurance, labs, or imaging billing.
    The retainer covers physician time, counsel, and diagnostic oversight. Laboratory testing, imaging, and procedures are billed by the performing facility or processed through insurance when eligible.

How The Partnership Begins

Engagement begins with an introduction call to determine mutual alignment and clinical priorities. If the model is appropriate, we outline next steps and schedule onboarding.

How Enrollment Works

Begin enrollment through Hint Health (preferred).

Begin by submitting your profile via Hint Health. This streamlines onboarding and prepares us for your initial consultation. If you have questions about fit before applying, call us at 914-292-0300 or simply use the contact form.

A personal call to ensure mutual fit.

Dr. Mathews will reach out for a brief, non-medical conversation to understand your goals, answer questions, and confirm alignment.
(An optional introductory non-clinical visit can be arranged if preferred.)

Membership agreement is signed.

Once mutual fit is confirmed, you’ll receive the membership agreement through Hint Health. Nothing is activated or billed until your initial consultation.

Your new patient onboarding visit is scheduled.

After the agreement is signed, we schedule your new patient consultation and begin preparing for your structured 90-day onboarding phase.

Membership activates at your initial visit.

On the day of your new patient appointment, your membership is activated and the first three months of your membership are collected. Your structured 90-day onboarding begins immediately thereafter.

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