Longevity PlanFor Longevity Plan doctors · Internal
Running the 60-minute Longevity Consult
Every patient pays $790 for one hour that should feel nothing like a GP visit. This guide covers how to run the hour, what to order, what the patient receives afterwards and when to raise the Private Program.
Before the consult
Ten minutes of preparation
Patients notice when you already know their story. Prepare before they arrive.
- Review the online assessment and intake questionnaire
- Read any uploaded prior results, letters and medication lists
- Note age band and sex to pre-select the testing framework
- Check for red flags that need same-day referral instead
The hour
Minute by minute
- 0–5 min
Welcome and agenda
Set the tone: this is unhurried, preventive and about their future, not a symptom check.
- Confirm identity, consent and telehealth or in-person setting
- Explain the hour: history, goals, testing, then a plan
- Confirm you have read their intake questionnaire
Useful prompts"Today is about where your health is heading, not just where it is now."
- 5–20 min
Deep history
Build the full picture the intake form cannot capture.
- Medical and surgical history, current medications and supplements
- Family history: cardiovascular, cancer, dementia, diabetes, age of onset
- Previous bloods, imaging and screening, including what is overdue
- Hormonal and reproductive history appropriate to age and sex
Useful prompts"How old were your parents when they first had health problems?"
"What has a doctor told you before that you have never followed up?"
- 20–30 min
How they live
Assess the five pillars that drive long-term outcomes.
- Sleep: duration, quality, snoring or apnoea signs
- Movement: strength training, cardio, mobility, falls
- Nutrition and alcohol, weight trend over ten years
- Stress, mood, cognition and social connection
- Work demands, travel and recovery
Useful prompts"Walk me through a normal week."
- 30–40 min
Goals and outcomes
Anchor everything to what they actually want their life to look like.
- Agree two or three measurable outcomes for the next 12 months
- Ask about partner and family: who they are doing this for
- Life-stage goals: fertility, menopause, career, retirement, grandchildren
- Ask whether they are interested in any cosmetic or aesthetic work, and note areas for specialist referral
- Identify their appetite for investment and level of support they want
Useful prompts"What do you want to be able to do at 80?"
"Who else benefits if you feel better?"
- 40–50 min
Testing plan
Recommend only the tests that will change decisions for this person.
- Select bloods, hormones and imaging using the age framework below
- Explain why each test matters and what it could change
- Mention subtly that pathology and imaging are billed by the provider
- Book collection and scans before they leave
Useful prompts"I only want to order tests that will change what we do."
- 50–60 min
Plan, next steps and the Private Program
They leave with clarity, a booked follow-up and the option of a year with you as their doctor.
- Summarise the three biggest opportunities you see
- Book the results review (30 minutes, within 3 weeks)
- Flag any specialist referrals you are likely to make
- If suitable, present the Private Program: a year of 1:1 doctor oversight to deliver these priorities
- Explain they can do it themselves with the plan, or have you guide the whole year
- Agree to email the enrolment link the same day; no pressure to decide in the room
Useful prompts"Here is what I think matters most for you, and here is what happens next."
"You can take this plan and run with it yourself, or I can walk beside you for the next 12 months."
"Who else benefits if you feel better: your partner, your family?"
Testing framework
What to order, by age
A starting point, not a checklist. Order only what will change a decision. Pathology and imaging are billed separately by the provider; mention this once, plainly.
- Full blood count, iron studies, liver and kidney function
- Lipids including ApoB and Lp(a) (once in a lifetime)
- HbA1c and fasting insulin
- Thyroid, vitamin D, B12
- Hormones and fertility markers where relevant (AMH, testosterone)
- Body composition (DEXA) baseline
- Everything in the 30–44 panel
- Coronary artery calcium score
- hs-CRP and homocysteine
- Menopause or andropause hormone profile
- Bowel, breast, cervical and skin screening up to date
- VO2 max or exercise stress test
- Everything relevant from earlier bands
- Bone density (DEXA)
- Cognitive screen and hearing check
- Grip strength, gait and falls risk
- Cardiac imaging where indicated
- Medication review for interactions and deprescribing
The deliverable
What goes in the written plan
Plain English, specific to them, and short enough that they will read it.
- SnapshotWhere they are today in one page: key results, risks and strengths.
- Top three prioritiesThe changes with the biggest impact for this person, ranked.
- Prevention and screeningWhat to test, when to retest, and screening schedule.
- Strength, sleep and nutritionSpecific, achievable targets rather than generic advice.
- Specialists and servicesWho to see next, why, and coordinated referrals.
- 12-month outcomesThe measurable goals agreed in the consult and how we track them.
After the consult
Follow-up timeline
- End of first consultIf suitable, present the Private Program in the final minutes.
- Same dayConsult notes completed, tests requested, Private Program enrolment link emailed.
- Within 3 weeks30-minute results review, by phone or video. Answer any program questions.
- Within 5 days of reviewWritten longevity plan sent to the patient.
Presenting the Private Program
The $9,999 year-long program is never shown publicly. Present it at the end of the first consult, once you've summarised their priorities and only when the patient is a good fit. Email the enrolment link for their audience page the same day, and answer any questions at the results review.
Good fit when the patient:- Wants ongoing doctor oversight rather than a one-off plan
- Has three or more priorities that need coordination
- Likely to need multiple specialists or regular retesting
- Has expressed the means and motivation to invest in their health
Do not
- Raise the Private Program before the final segment, or push for a decision in the room
- Mention prices for procedures or treatments
- Name specific compounds; describe recovery and optimisation options generally
- Order tests that will not change a decision
Red flags such as chest pain, neurological symptoms or suspected malignancy take priority over the consult structure. Refer the same day.