Thrive Adult Memberships

New Patient Membership

The recommended starting point for new patients seeking physician-guided functional medicine care, without the intensity of a full signature program.

Evolve Premier is designed for new patients ready to establish a genuine, ongoing relationship with Dr. Pestana. This program includes five physician visits — a comprehensive intake, a findings visit where your complete health picture is evaluated, and three follow-ups throughout the year. In addition, it encompasses wellness coaching, private health coaching, monthly digital check-ins, and seasonal wellness resources. This is the most thorough introduction to our ongoing patient wellness programs.

Evolve Premier is exclusively available for new patients. Returning patients and program graduates can transition to Evolve, Optimize, or Maintain based on their ongoing health needs.

The shift: from reactive sick care → to a proactive, physician-guided wellness relationship tailored around you.

Returning Patient & Program Graduate Membership

Experience the most comprehensive long-term wellness membership tailored for those who have completed foundational work and are eager to continue their journey. 

Evolve is designed for program graduates and returning patients engaged in our functional medicine memberships, providing high-touch annual continuity. This includes four physician visits per year, four private wellness coaching sessions, a functional lab credit, monthly check-ins, and priority portal access — all within a membership structure that evolves alongside your health needs. This isn’t merely a maintenance plan; it represents an ongoing optimization relationship with a physician who understands your history and aims to build upon it. 

A legacy rate is available for returning PCW patients. 

Make the shift: from completing a wellness program to sustaining and deepening your results year after year.

Mid-Tier Membership

Consistent physician support and accountability for patients maintaining their progress is essential in our functional medicine memberships.

Optimize is for patients who have established their foundation and seek regular check-ins, lab monitoring, and wellness coaching without the full investment of Evolve. With three to four physician visits per year, two private health coaching sessions, monthly digital check-ins, and ongoing portal access, you stay connected and on track — all while building on your hard-earned results.

The shift: from results you've worked hard for to results that hold in our patient wellness programs.

Light-Touch Annual Membership

A light, ongoing connection with Dr. Pestana for patients who are already doing the work. 

Maintain is tailored for legacy patients who want a functional medicine perspective woven into their care, as well as for younger, generally healthy patients seeking annual oversight through patient wellness programs without a larger commitment. With two physician visits per year, monthly digital check-ins, seasonal wellness resources, and portal access, you'll feel grounded and supported—without the overhead of a more intensive tier.

It's important to note that Maintain does not include wellness coaching. Patients who desire coaching support between visits should consider our Optimize or Evolve plans. 

The shift: from going it alone to staying connected to a physician who understands your history.