How It Works
How FORME makes recommendations
FORME carries out your clinic's plan between visits, under your clinicians' supervision. This page explains what it does, where its recommendations come from, who checks them, and what it will not do. It is written for clinicians evaluating FORME, and for anyone who wants to know what's behind the advice.
Clinical summary
- What it does
- Carries out the clinic's plan. Turns the practitioner-approved plan into daily goals and check-ins, and keeps patients on it between visits.
- Answers questions between appointments. Patients can ask about test preparation, prescription directions, appointment details and care instructions at any hour, answered from the clinic's own instructions.
- Reads wearables in clinical context. Sleep, heart rate variability, resting heart rate and activity from Oura, Whoop, Apple Health, Garmin, Fitbit and more, interpreted together with the patient's labs, medications, plan and the clinic's protocols. That combination gives insight that neither the device nor the chart provides alone.
- Coaches daily life. Nutrition, movement, sleep, stress and habits, adjusted to how the patient actually slept and moved.
- Follows clinic programs and protocols. Movement and other programs, test schedules and reminders, and the clinic's approved rules.
- Keeps the care team informed. Progress, flagged findings and safety alerts reach the practitioner portal, so the team knows who needs attention.
- What it does not do
- Diagnose, prescribe, or replace clinical judgment. FORME is not a medical device and is not an EMR.
- Who is in charge
- The patient's clinic. Plans are approved by a practitioner before the patient sees them, and clinic protocols take effect only after a clinician approves them.
- Evidence base
- A curated library of 600+ peer-reviewed study summaries, each graded A to D. The coach cites only entries a reviewer has approved.
- Data ownership
- Patients own their data and stay in control of it: they can download a copy at any time, and deleting their account from Settings completely deletes all of their data. Uploaded documents are deleted after extraction. Data is encrypted in transit and at rest, access is restricted to the patient's care team, and data is never sold.
From data to daily plan
1. Data comes in
Patients complete a guided intake and can upload lab reports, imaging reports and epigenetic results. Wearables such as Oura, Whoop, Apple Health, Garmin and Fitbit sync automatically.
Documents are read and the relevant results are extracted into structured values with consistent units. Values that are medically implausible are flagged rather than used. The original file is then permanently deleted.
2. A longevity plan is drafted, then approved by a clinician
FORME drafts a comprehensive longevity plan: a long-term vision, medium-term goals, a focused three-month plan, and SMART weekly goals the patient works on day to day. It works from the patient's data, the clinic's approved protocols and the evidence library.
The draft is not shown to the patient. A practitioner at the patient's clinic reviews, edits and approves it first.
3. Clinic rules are applied deterministically
Clinic protocols are uploaded as documents. FORME extracts their actionable rules (when this happens, do this, tell this person) and a clinician approves, edits or rejects each one.
Approved rules are applied by a rules engine, the same way every time. The AI does not decide at run time whether a clinical rule applies.
4. Daily coaching adapts
Each day the coach uses the patient's sleep, activity, check-ins and progress to adjust the day's actions within the approved plan. Patients can message the coach at any time.
Questions about changing medications or supplements go back to the clinician who prescribed them.
5. Clinicians teach the system
When a practitioner corrects something FORME suggested, the correction is stored and becomes a rule for that clinic. Over time the coach reflects how that clinic practices.
The evidence library
FORME's recommendations are grounded in a curated library of more than 600 peer-reviewed studies covering sleep, nutrition, exercise, stress, behaviour change, supplements and common medical conditions. Each entry records the study's source, what it actually measured, a plain-language summary for patients, a recommendation for clinicians, and a grade for the strength of the evidence:
- A: consistent, good-quality patient-oriented evidence
- B: inconsistent or limited-quality patient-oriented evidence
- C: consensus, expert opinion or disease-oriented evidence
- D: traditional use or expert opinion only
Only entries a reviewer has approved are ever cited. Citations in plans and daily check-ins are checked against what the study actually measured, and citations that don't hold up are removed before the patient sees them.
FORME also ships with guideline-based defaults, such as movement programs built on ACSM, AHA/ACC and CCS guidance. A clinic's own protocols override these wherever they overlap.
Safety
- Messages that suggest a crisis switch the coach into a safety mode that shows crisis resources and alerts the patient's practitioners. It is tuned to err on the side of caution.
- Lab and other medical values are checked for plausibility before they are used.
- The coach does not advise on starting, stopping or changing a medication or supplement. It refers the question to the prescribing clinician and offers to flag it to the patient's practitioner.
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