How It Works

A simple process, held to a high standard.
It starts with a conversation and a thorough examination over the first 90 days.
From there, the practice is your household’s first call for any health question.
Regular check-ins and a new baseline each year keep the plan current.
One place to start, instead of managing it all yourself.

It Starts With a Conversation

Before any testing, we talk. We cover what brought you here, what concerns you, and what you want your health to make possible in the years ahead. The conversation is short and unhurried, and it goes both ways. You decide whether the practice is right for you, and Dr. Mathews does the same.

Nothing about the plan is templated. You can decline any part of the examination.

The First 90 Days

Dr. Mathews discusses personalized health results and next steps with a patient during a Sequoia Medical 360 consultation, translating insights into an actionable longevity plan.

A thorough examination, brought together into one clear plan.

The examination
It begins with a long, unhurried first visit. We review your history and records, along with data from any devices you already use, such as a watch, ring, or glucose monitor. Then we set the testing that fits your goals, including advanced blood work, body composition, and a nutrition strategy led by Dr. Mathews. When appropriate, after discussion, the examination can also include screening whole-body MRI and multi-cancer early detection.
Fitness assessment
Every member is offered a fitness assessment with Total Form Fitness, an independent strength and conditioning business. It follows a standard protocol designed with Dr. Mathews and is adjusted to your ability. VO2 max is measured directly, not estimated. Building and keeping muscle is a priority throughout. The assessment requires your consent and a HIPAA release, and you can decline it.
Putting it together
Dr. Mathews reviews every result side by side: labs, imaging, fitness, wearable data, and family history. One result rarely tells the story. The pattern does. Together, these findings become your Master Baseline, the starting point everything else is measured against.
Your plan
In a private visit, you walk through the findings and agree on priorities. You leave with a written plan that covers what to focus on first, what to watch, and what comes next.

The Year Ahead

Dr. Mathews greets a patient with a warm handshake during a visit at Sequoia Medical 360, symbolizing trust, partnership, and a shared commitment to proactive care.

One physician who knows you, adjusting the plan as life changes.

Regular check-ins
Scheduled visits review your progress and adjust the plan. Wearable data you choose to share is reviewed alongside your results, and fitness is reassessed at regular intervals, so you can see what’s changing.
The first call
For any health question, you and your household start here. Small concerns are easier to address early.
Your doctors stay your doctors
Keep the physicians you already trust. The practice works alongside them and shares what’s relevant, with your permission.
Introductions when you need them
When something calls for another specialist, Dr. Mathews makes a personal introduction, with your permission, and stays involved. Your record lives in the Columbia and NewYork-Presbyterian system, which helps when introductions are made within it.

A New Baseline Each Year

Dr. Mathews reviews diagnostic data with a patient during a wellness assessment at Sequoia Medical 360, guiding them through advanced body composition analysis.

Each year starts like the first.

Look back
We review what changed, what improved, and what needs more attention.
Retest
We repeat the testing that matters for your plan, when appropriate, after discussion.
Reset the plan
We update priorities for the year ahead, measured against your own results from prior years.
Over time
Each year adds to your record. The longer the record, the clearer the picture.

What You Can Expect

One Physician

Every result and every plan runs through Dr. Mathews.

  • Your history in one place
  • Results reviewed side by side
  • Decisions made with the long view
A Plan in Writing

Your findings become a clear plan you can read, share, and act on.

  • Priorities in order
  • Clear next steps
  • Updated as life changes
The Long View

Your results are tracked over years, measured against your own history.

  • Trends across years, not single snapshots
  • Fitness and wearable data in context
  • A record that grows more useful over time

Ready to Talk?

The first step is a short conversation about your goals and whether the practice is the right fit.

See membership→

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