Membership at Sequoia Medical 360
A long-term, specialist-led partnership in proactive longevity care, integrating metabolic, endocrine, and preventive cardiovascular expertise.
Membership — At a Glance
1. Evergreen Membership
Specialist-led, relationship-centered cardiometabolic care. We begin with an unrushed annual evaluation to establish your baseline, then refine your strategy across the year by integrating labs, imaging, and wearable data into one coherent plan.
2. Invitation Only Tier
An invitation-only tier is available for a limited number of members. Details are shared privately when appropriate.
3. What Membership Is Not
Sequoia is not an executive-physical-only program, a general membership-style primary care clinic, or a protocol-driven longevity model. Members maintain a PCP for insurance needs; your ongoing guidance comes from a physician who knows your physiology, goals, and trajectory over time.
See the complete picture. Read the consolidated Executive Brief.
Sequoia Medical 360 — At a Glance →
How We Partner With You
A long-term, specialist-led relationship built on clarity, continuity, and precision.
Your membership is built on a simple belief: the most meaningful health outcomes happen when you and your physician move in the same direction, over time, with a shared understanding of your biology and your goals.
Membership at Sequoia is not a transaction — it is a relationship. Our Evergreen plan is designed for individuals who value thoughtful, continuous physician access, advanced diagnostic interpretation, and a deeply personalized roadmap for long-term health and performance. This page outlines how the Evergreen partnership works and what you can expect from our unified, specialist-led model of care.
At Sequoia, we follow a unified model of care — the Sequoia Method™ — where your metabolic, endocrine, cardiovascular, performance, and lifestyle insights are integrated into one coherent strategy. You’re never navigating a fragmented network or piecing together disjointed evaluations. Instead, you have a single physician who understands your story, guides your decisions, and refines your plan as your life and physiology evolve.
Your membership is not a bundle of services. It is a relationship: unhurried visits, thoughtful diagnostics, advanced pattern recognition, and year-round support — all designed to help you stay ahead of potential risks and aligned with your long-term goals.
This foundation allows every other component of your care — testing, nutrition, fitness, recovery, cognitive health, wearable data, and specialist coordination — to live inside one intentional system that supports your health for years, not weeks.
The Family Health Office Model
A Curated Ecosystem, Managed Through One Strategy.
The Approach
Modern medicine is fragmented, leaving you to coordinate between disconnected specialists and conflicting recommendations. We replace that with a unified Family Health Office model. When additional expertise is needed, we coordinate vetted clinical partners and synthesize their findings into your plan—so your care stays aligned, not compartmentalized.
Explore Our Philosophy →
The Integrated Clinical Team
Coordinated Through Our Curated Network:
– Medical Nutrition Strategy: RD partners integrated with labs (and CGM when appropriate)
– Performance & Mobility: VO₂/fitness diagnostics, strength metrics, and movement specialists
– Behavioral Health & Resilience: executive-focused mental well-being and stress-performance support
-Specialist Coordination: when clinically appropriate, coordinated deep-dive support across key domains
Read about Our Ecosystem →
The Evergreen Overview
The Evergreen Plan is the foundation of ongoing membership at Sequoia Medical 360 — a relationship-centered model designed for individuals who value clarity, continuity, and proactive oversight of their long-term health.
As an Evergreen member, you receive an unrushed annual evaluation, thoughtful follow-up visits throughout the year, and continuous diagnostic interpretation that integrates metabolic, endocrine, cardiovascular, and lifestyle insights into one coherent strategy.
Your care is supported by the Sequoia Method — a unified approach that brings together advanced diagnostics, personalized health planning, wearable and biomarker data interpretation, and coordinated guidance across nutrition, fitness, recovery, cognitive performance, and preventive screening.
Your membership fee covers ongoing counsel, expertise and diagnostic oversight. Additional lifestyle assessments and integrated components may be incorporated into your care model as you and your physician determine what best supports your long-term goals.
The Evergreen Experience
A unified, specialist-led approach to long-term health, performance, and prevention.
Evergreen is designed to replace fragmented care with one continuous system—built on advanced diagnostics, careful interpretation, and long-term planning. Across the year, your care follows a clear rhythm: establish the baseline, refine the strategy, and course-correct as your physiology changes.
01.
Comprehensive Annual Evaluation
An unrushed, multi-hour baseline that establishes your roadmap for the year ahead.
– Defines your current physiology, risks, and priorities in context (not just lab ranges).
– Incorporates objective markers (as appropriate): body composition, metabolic trends, fitness performance.
– Produces a clear plan to guide decisions, testing, and interventions over time.
02.
Ongoing Optimization & Direct Physician Counsel
Your plan is refined through structured follow-ups and between-visit guidance.
– 45–60 minute strategy visits to adjust course as data and life circumstances change.
– Integrates updated diagnostics, wearable insights, and new questions as they arise.
– Maintains continuity so concerns are addressed with clarity rather than delay.
03.
Nutrition Integration & Metabolic Strategy
Nutrition is treated as a clinical lever—not generic advice.
– Dietitian-guided sessions aligned with your labs, CGM trends, and lifestyle realities.
– Builds a sustainable metabolic strategy that supports energy, body composition, and risk reduction.
– Focuses on practical execution rather than rules, fads, or rigid protocols.
04.
Performance & Recovery Strategy
A unified approach to physical capacity and cognitive resilience—so strength, recovery, sleep, and stress physiology support long-term outcomes.
– Baseline and periodic assessment of strength, mobility, and cardiorespiratory fitness (VO₂ as appropriate).
– Sleep, stress, recovery, and cognitive signals integrated into the same physiological strategy.
– Clear adjustments that protect training capacity, reduce injury risk, and sustain energy and focus over time.
05.
Diagnostics & Continuous Data Integration
Targeted diagnostics and ongoing data are used to establish patterns, refine strategy, and guide decisions—not to create more noise.
– Advanced labs, imaging, and screening tools incorporated selectively when they add clinical clarity.
– Wearable and continuous data (glucose, sleep, HRV, activity) translated into meaningful trends.
– Results are synthesized into actionable priorities and course corrections across the year.
06.
Therapeutics & Physician-Led Integration
Interventions and outside inputs are managed with precision—so every recommendation fits one coherent clinical strategy.
– Medications and supplementation used thoughtfully: fewest tools, lowest necessary dose, continually reassessed.
– Emerging therapeutics discussed only when clinically grounded and aligned with your diagnostic picture and goals.
– Specialist opinions, procedures, and new results integrated through a unified lens to maintain continuity and clarity.
Your membership fee covers ongoing counsel, expertise, and diagnostic oversight. Additional assessments, evaluations, and integrated components may be incorporated into your care model at the discretion of you and your physician
The Sequoia
An invitation-only tier reserved
for a select group of members.
The Sequoia Plan is a discreet, highly personalized tier for individuals whose clinical needs or circumstances call for an even deeper level of physician partnership. It is not open for public enrollment and is rarely offered. When appropriate, eligibility is discussed privately during the course of an Evergreen membership.
Offered selectively; discussed privately.
What Membership Is Not
Clarity around what this program is — and isn’t.
Membership at Sequoia is a relationship-centered, specialist-led partnership. To ensure transparency from the start, it’s helpful to clarify what our membership is not designed to replace or replicate — and how we support you within these boundaries.
- Not a traditional concierge primary care practice.
While we are not your insurance-designated primary care physician, many members rely on us as their first call for most health, metabolic, preventive, and longevity needs. You will still maintain a separate PCP to meet insurance requirements, but in practice, we serve as your primary medical partner — the physician who knows you deeply and helps guide most clinical questions and decisions. - Not an executive physical or one-day evaluation.
Your care is longitudinal, iterative, and data-driven — not a one-time assessment or an annual “binder of results.” Insights evolve over time, and your plan adapts continuously as your physiology and goals change. - Not an urgent care or procedural clinic.
Members receive direct communication and timely access for most medical concerns. While we do not perform urgent-care procedures (such as suturing, X-rays, or in-office acute interventions), we help you navigate urgent issues, determine next steps, and stay connected to the right level of care when needed. - Not a substitute for insurance, labs, or imaging coverage.
Your membership fee covers access to your physician’s time, expertise, availability, and diagnostic oversight. Laboratory testing, imaging, procedures, and other billable services are processed through your insurance or the facility performing them. - Not a protocol-based longevity program.
We do not rely on generic protocols, supplement bundles, or automated regimens. Every decision is individualized — grounded in your diagnostics, your biology, and the long-term relationship we build together.
The Partnership Initiation
A partnership with Sequoia Medical 360 is a strategic engagement supported by an annual Retainer. This structure aligns our clinical incentives strictly with your long-horizon objectives and the performance of your most vital asset11.
Engagement begins with a Private Consultation to confirm strategic alignment. Once initiated, your partnership provides continuous Direct Physician Counsel and integration across metabolic, vascular, and endocrine domains.
Eligible for HSA, FSA, and Corporate Wellness Funding. May be a tax deductible business expense.
We will follow up personally to schedule your consultation and guide you through next steps.