Now Accepting New Patients

Navigating Your First Visit: What to Expect at Our Practice

With us, your health journey begins with time, attention, and a deep understanding of you — not just your symptoms.

Our initial concierge visit is designed to go far beyond a traditional checkup. We take up to 90–120 minutes to dive into every detail of your health, so we can create a truly personalized roadmap toward your long-term wellness and longevity goals.


What Makes Our First Visit Different

Your first appointment at RefineMed with Dr. Joshi isn’t rushed. It’s a comprehensive two-hour experience focused on uncovering the full picture of your health — past, present, and future. Here’s what you can expect:


Before Your Visit

We start with a thorough intake process.

You’ll provide:

  • Previous lab work, medical notes, and imaging results

  • Specialist notes or reports

  • Current medications and supplements

  • Your current concerns and short- and long-term health goals


During Your Initial Concierge Visit 

Your first session is an in-depth, structured conversation and examination. Here’s our workflow:

  1. Comprehensive Review of Your Medical History
    We go through your previous labs, medical records, and specialist notes to identify patterns, risks, and opportunities for improvement.
    We also address both acute concerns (issues you’re dealing with now) and chronic conditions (ongoing or recurring).

  2. Integrating Your Health Tech
    We help you connect all your smart health devices (blood pressure cuff, sleep tracker, Apple Watch, smart scales) directly in our system — so we can monitor real-world data in between visits.

  3. Advanced Lab & Imaging Orders
    We determine which tests will provide the most insight into your health. These may include:

    • Comprehensive biomarker panels

    • Genetic testing

    • Advanced imaging (Prenuvo)

    • Metabolic and hormonal evaluations

    Together, we plan out your lab and imaging schedule for the year, so you always stay ahead of your health.

  4. Coordinated Specialist Care
    If specialist input is needed, we don’t just give referrals — we personally connect with the specialist, share your records, and even help schedule your appointments.

  5. Goal Setting & Health Roadmap
    We’ll outline your long-term health goals (for example: weight optimization, hormonal balance, or skin rejuvenation) and break them into quarterly milestones with defined touchpoints. This keeps your progress measurable and motivating.

  6. Personalized Treatment Plan
    You’ll receive a tailored plan that includes:

    • Targeted supplements

    • Recommended labs and tests

    • Lifestyle and nutrition adjustments

    • Integrative or Ayurvedic support options

    • Everything is customized — no generic printouts here.

  7. Education & Empowerment
    We provide educational resources — curated articles, videos, and trusted medical tools — so you can stay informed and empowered between visits.

  8. Follow-Up Schedule
    Your follow-up frequency depends on your risk level:

    • Low-risk: Monthly check-ins, each focusing on a new topic (e.g., nutrition, sleep, hormones).

    • Medium-risk: Twice a month to maintain momentum and accountability.

    • High-risk: Weekly touchpoints for close monitoring and adjustment.


What You’ll Leave With

By the end of your first visit, you’ll have:

  • A personalized health optimization plan

  • Clear goals and timelines for the next 3–12 months

  • A direct line of communication with your doctor

  • Confidence that every piece of your care — from labs to lifestyle — is coordinated and intentional.

At RefineMed, we don’t just manage symptoms — we design strategies for longevity, vitality, and clarity.


Ready to Begin?

Your journey toward optimal health starts with one intentional conversation.


Schedule your complimentary meet and greet with Dr. Joshi today to request membership and experience the difference of truly personalized medicine.