Our Services
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Not sure what's happening with your memory, or what to do after a dementia diagnosis? This 45-minute virtual consultation is your starting point. This consult is available anywhere in the US and internationally. You leave with clarity, a written summary of recommended next steps, and referral guidance if needed.
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If you are noticing persistent brain fog, have a family history of Alzheimer’s disease, or want a baseline cognitive evaluation in midlife, this is your starting point.
This physician-led assessment includes:
• Structured cognitive testing
• Dementia risk stratification
• Cardiometabolic and vascular review
• Medication assessment
• Biomarker review (when appropriate)
• Written Brain Health & Dementia Prevention PlanIdeal for women who want clarity and to understand their Alzheimer’s risk profile.
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If you or a loved one have received prior cognitive testing, MRI findings, or a memory loss diagnosis that feels unclear, this consultation provides structured review and prevention-oriented recommendations.
Designed for:
• Patients with family history of Alzheimer’s disease
• Confusing cognitive evaluations
• Early mild cognitive concerns
• Family conflict or confusion about a diagnosisIncludes an in depth physician review and written report.
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This is our signature program.
The MEMORY™ Program is a structured, 12-month dementia prevention plan built specifically for midlife women at elevated Alzheimer’s risk.
Grounded in research from the Lancet Commission and the U.S. POINTER trial, this multidomain approach addresses:
• Cardiometabolic and vascular risk reduction
• Lifestyle medicine for dementia prevention
• Sleep stabilization
• Stress physiology recalibration
• Hormone-aware brain health
• Cognitive engagement and executive function
• Creative neuro-resilience integration
• Ongoing physician oversight and reassessmentIt is structured Alzheimer’s disease risk reduction during the midlife window when prevention is most effective.
Our 6 MEMORY™ Pillars
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Metabolic Health
Blood sugar, blood pressure, cholesterol, inflammation.
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Exercise
Structured aerobic and strength training aligned with prevention research.
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Mental Engagement
Executive function, memory stimulation, and novel learning to strengthen neural resilience.
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Optimal Nutrition
Brain-supportive, anti-inflammatory dietary patterns grounded in multidomain prevention trials.
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Rest & Stress Regulation
Sleep stabilization and nervous system recalibration to reduce cognitive strain.
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Your Creative Practice
Art, music, craftsmanship, and novel skill-building as structured cognitive resilience training.
Navigation Consultation
Available virtually anywhere in the US and internationally
Something has changed. You don't know what it means or what to do next. This is where you start.
The moment after you first notice a cognitive change, in yourself or someone you love, is one of the most disorienting moments in healthcare. There is no clear door to walk through, no obvious first call to make, no one whose job it is to help you understand what is actually happening and what it actually means.
That is what this consultation is for.
In 45 minutes with Dr. Amy Paul, you will move from confusion and uncertainty to clarity and a concrete path forward. This is not a diagnostic medical appointment. It is a structured, expert navigation conversation that gives you exactly what you need to take the right next step whatever that step turns out to be.
Cost $250.00
This consultation is for:
Anyone noticing early cognitive changes and unsure whether to be concerned
Families who have noticed changes in a loved one and don't know where to turn
Caregivers navigating an existing diagnosis who need expert guidance on next steps
Out-of-state and international families seeking clarity about a loved one's care
Anyone who has received cognitive testing or a diagnosis that feels incomplete or confusing
What the 45 Minutes Includes:
A structured conversation about what you are experiencing or observing
Clinical context about what these changes may or may not mean
Clarity about what type of evaluation or specialist is actually needed
A written summary of your recommended next steps
Referral guidance to appropriate diagnostics, specialists or community resources
What Happens After:
Some patients move forward with a Comprehensive Cognitive Assessment at Flourish. Others are referred to neurologists, memory care specialists or community resources. Some simply need the clarity that nothing urgent is happening. All outcomes are valid. The goal is to get you to exactly the right place.
Comprehensive Cognitive Assessment
If you are experiencing persistent brain fog, memory concerns, or have a family history of Alzheimer’s disease, this evaluation provides structure and clarity. The average length of this visit is 90 minutes with a follow up visit to discuss your results and a plan going forward.
$1,250.00 - One Time
What We Evaluate
• Cognitive baseline (memory, executive function, processing speed)
• Alzheimer’s disease risk factors
• Cardiometabolic and vascular health
• Sleep quality
• Stress burden
• Medication impact
• Hormone-related cognitive changes
• Lifestyle contributors to dementia risk
What You Receive
• Structured cognitive testing
• Risk stratification summary
• Written Brain Health & Dementia Prevention Plan
• Clear next-step recommendations
All clients will receive a detailed report that they can provide to their medical team or keep for their reference.
This service is ideal if you are asking: “Is this normal aging, hormone-related brain fog, stress, or something more?”
Cognitive Second Opinion Consultation
If you have already undergone cognitive testing, MRI imaging, or received a diagnosis that feels unclear, this consultation provides structured, prevention-oriented review. This consultation is also available for families in and out of the state of Virginia, who are seeking clarity and care for a loved one.
One time cost of $750.00
Ideal For Women and Families Who:
• Have a family history of Alzheimer’s disease
• Have received inconsistent cognitive results
• Have mild cognitive impairment (MCI) concerns
• Need clarity about a loved one’s diagnosis and what to expect next
What This Includes
• Comprehensive review of prior testing and imaging
• Evaluation of modifiable dementia risk factors
• Lifestyle medicine recommendations aligned with prevention research
• Written summary and prevention strategy
Add-On Services for those who need it:
Virtual Family Calls (up to 2 30 minute calls after the consult) - $150.00
Discussion and completion of Advance Directives documentation - $100.00
Driving Assessment Documentation - $250.00
The MEMORY™ 12-Month Dementia Prevention Program
This is our Signature Program.
A structured, physician-led, 12-month dementia prevention plan designed specifically for midlife women at elevated Alzheimer's risk. Grounded in findings from the Lancet Commission and the U.S. POINTER trial, this multidomain program addresses the six pillars of brain longevity during the window when prevention is most effective.
Founding Member Pricing: $3,000(Regular price: $5,000 - limited to the first 10 members. This rate will not be offered again once the cohort is full.)
Payment plan available: 3 installments of $1,000.
What the 6-Month Program Includes:
A baseline comprehensive cognitive assessment
Weekly physician visits in the first month, then monthly visits
Biomarker testing (if indicated)
Follow-up cognitive testing at program completion and at one year
Coaching with specialists, all trained in lifestyle medicine
Group accountability calls
Access to brain training software
Discounts on caregiver services
Personalized creative strategies for neuroplasticity
Discounts on professional-grade supplements through our Thorne partnership
We recommend Thorne supplements where clinically indicated because of their rigorous third-party testing and NSF certification. We do not recommend supplements routinely — only when your individual biomarker profile supports their use.
Ideal for Women Who:
Have an elevated risk for dementia
Want a structured program with physician accountability
Are caring for a loved one with dementia
Are committed and ready for sustained lifestyle change
Which Service Is Right For Me?
Start with the Navigation Consultation if you or a loved one have noticed cognitive changes and you are not sure what they mean or what to do next. Available virtually anywhere. $250.
Start with the Comprehensive Cognitive Assessment if you want to understand your current brain health, establish a clinical baseline, and get a clear physician-led picture of your dementia risk. The right first step for most women. $1,250.
Book a Cognitive Second Opinion if you or a loved one have already had cognitive testing or received a diagnosis that feels incomplete or confusing. Available virtually for families outside Virginia. $750.
Explore the MEMORY™ 6-Month Program if you have completed an assessment and are ready for a structured, physician-led dementia prevention plan with real accountability over six months. Founding member rate $3,000 — 10 spots only.
Not sure which fits your situation? Book a call and we'll help you figure it out together.