Clinical Standards
Our protocols are published, not proprietary.
You should be able to read the rules a clinic applies to you before you become its patient. Every protocol below is the same object our software uses to evaluate your intake — they cannot diverge.
Approved protocols
Medical Weight Management
Physician-supervised obesity care combining nutrition, activity, behavioral support, and — when indicated — incretin-based pharmacotherapy. Anti-obesity medication is an adjunct to lifestyle therapy, never a substitute for it.
- Version
- 1.0
- Reviewed
- 2026-09-14
- Absolute contraindications
- 4
Virtual Primary Care
Longitudinal primary care delivered by telehealth: preventive care planning, chronic disease management, acute minor illness, and coordination with in-person services when a physical examination or procedure is required.
- Version
- 1.0
- Reviewed
- 2026-09-14
- Absolute contraindications
- 6
Screening
Validated instruments, not vibes
We use published, validated screening tools and we act on the results. A positive screen changes what happens next.
PHQ-9 Depression Screen
Patient Health Questionnaire-9. Public domain.
9 items
SCOFF Eating Disorder Screen
Morgan JF, Reid F, Lacey JH. BMJ 1999.
5 items
AUDIT-C Alcohol Use Screen
Bush K et al. Arch Intern Med 1998.
3 items
Safety
The questions that stop everything
These are asked first, before anything else. A yes to any of them ends the intake and routes you to emergency care.
- Chest pain or pressure right now
- Severe difficulty breathing or shortness of breath at rest
- Sudden weakness, numbness, facial droop, or trouble speaking
- Heavy bleeding that will not stop
- Severe abdominal pain that came on suddenly
- Thoughts of harming yourself or someone else right now
- Swelling of the lips, tongue, or throat, or trouble swallowing
Telehealth is not emergency care
Call 911 or go to the nearest emergency department. For a mental health crisis, call or text 988.
Governance
How protocols change
- Every protocol is approved by the Medical Director before it can be used.
- Protocols are reviewed at least annually and immediately upon a relevant FDA safety communication, label change, or major guideline update.
- Versions are recorded with the chart note, so we know which version governed any past encounter.
- Clinicians may deviate from protocol when clinical judgment requires it, with the rationale documented.
- A quarterly chart audit samples encounters for protocol adherence, appropriate escalation, and completeness of informed consent.
Software
No algorithm decides your care
Our eligibility engine is deterministic and rule-based. It does not use machine learning, and it cannot approve a prescription. It has exactly two hard stops — an emergency presentation, and a state where we are not licensed — and everything else it produces is a flag for a licensed human to weigh.
If we ever use generative AI to help draft a clinical communication, that message will say so and will tell you how to reach a human clinician. That is our standing policy. A clinician reviews every clinical message before it is sent.
Read the protocols in full on each service page: weight management and primary care.