Book a Consultation - Precision Wellness

Integrated Wellness, Longevity & Preventative Health Consultation

Patient Details

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Address

Medicare Number (incl IRN)

IRN

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Emergency contact name

Emergency Contact Mobile Phone Number

Purpose of Consultation

This consultation is designed to support a proactive, patient‑centred approach to health, with a focus on prevention, optimisation, and personalised care. It reflects modern medical understanding of:

Healthy ageing and longevity strategies
Mood, cognition, and neuroendocrine optimisation
Cardiovascular, metabolic, and hormonal health
Immune function, energy, and physical performance
Cases where conventional therapies have proven inadequate or caused intolerable side effects

Shared Decision‑Making and Evidence Base

This consultation operates under the principles of shared decision‑making and informed consent, as outlined by AHPRA and RACGP. All recommendations are grounded in the best available evidence and peer‑reviewed research. Where appropriate and under medical supervision, we may explore therapies supported by emerging science or international literature that are not yet widely adopted in conventional practice.

Potential Interventions

Your tailored treatment plan may include a combination of:

Lifestyle and behavioural interventions (nutrition, sleep, exercise, stress adaptation)
TGA‑approved medications and off‑label use (when clinically indicated and supported by published evidence)
Compounded medicines from Australian-accredited pharmacies
Peptide therapies (evidence‑aligned but typically not first‑line)
Plant‑based therapies, nootropics, or adaptogens (under practitioner guidance)
Nutraceuticals or supplements targeted to clinical need or diagnostic findings
Evidence‑informed diagnostics such as full pathology panels; DEXA, ECG, CGM, VO₂ max, microbiome testing; hormone, metabolic and genetic profiling

Regulatory & Medical Disclosure

Some therapies may involve compounded medicines, off‑label prescribing, or products not currently registered on the ARTG. These are only considered when clinically appropriate, based on individualised assessment and evidence‑informed reasoning—particularly when conventional, first‑line treatments have proven ineffective, unsuitable, or unavailable.

All treatments are provided under medical supervision and in accordance with national and jurisdictional regulations. Prescribing decisions align with RACGP guidelines, AHPRA’s Code of Conduct, Australian ethical standards for informed consent, and the best available clinical evidence.

Acknowledgement of Risk & Emerging Use

I understand that some treatments may involve off‑label, compounded, or unapproved therapeutic goods (e.g., via TGA Special Access or Authorised Prescriber pathways).
I recognise that certain therapies may have limited long‑term outcome or safety data.
I have had the opportunity to ask questions and received sufficient information to make an informed decision.
I understand suitability is subject to ongoing clinical review and may be adjusted or discontinued based on medical judgement.
I accept that no guarantee can be made regarding specific outcomes.

Monitoring & Compliance Requirements

I agree to undergo the necessary baseline and follow‑up assessments as part of safe and responsible care. These may include:

Comprehensive blood/pathology panels (e.g., FBC, lipids, liver/renal function, inflammatory markers, hormones)
Diagnostic imaging (e.g., ECG, DEXA, ultrasound, MRI, as clinically indicated)
Functional/metabolic testing (e.g., VO₂ max, CGM, body composition analysis)
Personalised profiling (e.g., genomic, microbiome, epigenetic, nutrient status)
Review consultations at intervals such as 4–6 weeks, 12 weeks, and ongoing as required

I understand that accurate testing and regular follow‑up are critical for safe care. Failure to comply may result in modification, suspension, or withdrawal of treatment.

Health Goals (Tick those applicable)

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Health Disclosure Checklist (tick any that apply)

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Informed Consent Declaration

I understand the scope and purpose of this consultation and that all interventions are tailored collaboratively.
I acknowledge that certain therapies may be off‑label, compounded, experimental, or lack long‑term outcome data and may be used under TGA pathways where appropriate.
I agree to complete recommended clinical investigations and attend scheduled reviews.
I understand this consultation is conducted in‑person or via secure video (not via phone).
I understand some services may not be covered by Medicare, PBS, or private insurance.
I accept the practitioner may modify or withdraw treatment based on evolving evidence, safety, or incomplete disclosure of health information.

By signing below I acknowledge I accept and understand the above information.

Patient Signature:(Required)

Date:

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Let's see if we are a good fit for you