For practitioners

A private, deterministic intake your patients can complete before they walk in.

Almavivo is built for personal use. Clinicians, therapists, dietitians, and coaches have started using it as a structured pre-consult intake and education adjunct. If that’s you, this page is the introduction — and the invitation to talk to us.

Email [email protected]·See the tools your patients would use·Privacy architecture

Running a clinic and want a bespoke, clinic-branded intake built around your own pathway? See bespoke clinic intake.

  • Six tools built on one shared intake, so a patient fills it in once.
  • Intake stays in the patient's browser; you only see what they print or email you.
  • Deterministic rules engine — auditable, reproducible, no language-model improvisation.
  • A4 Reference and Analysis sheets designed to print and discuss in a consult.
  • Clinician export composes a structured summary in the patient's mail client — no upload, no account.

Almavivo wasn’t designed as a clinical product, but its shape — one private intake feeding six structured tools — happens to fit several common practitioner workflows. None of these require an account, a server, or any data leaving the patient’s device.

  • Pre-consult intake. Patients complete the adaptive intake at home and bring the printed Reference and Analysis sheets to the appointment. You start the consult with a structured profile already in hand.
  • Structured second opinion on a supplement stack. Deterministic, evidence-tiered (Tier A–D), conservative-by-default. Useful when a patient arrives with a long self-prescribed stack and you want a sanity check against contraindications and interactions.
  • Annual physical and screening companion. USPSTF-anchored screening cadences, sex/age-aware reference bands for ~20 common lab markers, and a personalised list of questions for the next physical.
  • Shift-work circadian planning. For shift-pattern patients: light, anchor sleep, caffeine, and meal timing for fixed-night and forward-rotating shifts, with a wallet-sized print card.
  • Therapy, coaching, and allied health. The cognitive and stress profile derivers, journaling, and lifestyle interventions are the most useful surfaces for non-prescribers. The supplement plan stays secondary and conservative.
  • Household and family use. A patient can keep separate profiles on the same device for adult household members, with consent. Profiles are independent and stay on-device.

See the full tool index →

Almavivo is built for individuals generating their own plans on their own device. The code is open source under Apache 2.0, and the license technically permits commercial use. This section is about the social contract, not the legal one.

If you’re running Almavivo as part of paid clinical or therapeutic work — using it with a roster of patients, branding it as part of your service, training staff on it, integrating it into an EHR or intake flow, or relying on it for clinical decisions — please get in touch first.

The contact route is for white-labeling, training, attribution, professional-license discussion, integration scoping, and indemnity questions. It is not a permission gate, and the conversation usually takes one email.

Email [email protected] with rough roster size, your specialty, and what you’d want to use Almavivo for.

Almavivo can supportAlmavivo is not
  • An educational, structured pre-consult intake.
  • A deterministic, evidence-tiered second opinion on supplement stacks.
  • A patient-prepared briefing you can read in the first two minutes of a consult.
  • Print-ready Reference and Analysis sheets for the consult and the patient's records.
  • A diagnostic tool, prescribing tool, or interaction checker.
  • An EHR, patient record system, or HIPAA-covered service.
  • A regulated clinical decision support device.
  • A channel through which we receive or store patient data on your behalf.

Red-flag symptoms in the intake route the patient toward urgent clinical review. The patient’s own clinician and lab remain authoritative.

  • Small functional, integrative, or preventive medicine practices.
  • Naturopathic, nutritional, and dietetic practices wanting a structured pre-consult intake.
  • Psychotherapy, coaching, and allied-health practices using the stress, sleep, and lifestyle surfaces.
  • Clinics with 1–20 practitioners who want patients to arrive with a private, structured profile already prepared.

Every question, supplement rule, excluded item, evidence tier, and safety guard is published openly under Apache 2.0. You can read the rule that fired, the condition that excluded an item, and the evidence behind a recommendation. If something looks wrong in your specialty, tell us — that’s the most valuable conversation we can have.

github.com/almavivo/open-health-engine·methodology·what we exclude·privacy architecture

Email [email protected]. Tell us about your practice, roughly how many patients you’d want to use it with, and what you’d want Almavivo to do — second-opinion stack review, pre-consult intake, shift-work planning, training, white-label, or something else. One email is usually enough to figure out whether there’s a fit.

Can I use Almavivo with my patients?

For casual, personal-use-style sharing — pointing a patient to the site and discussing what they bring in — yes, freely. If you're using it as part of a paid clinical, therapeutic, or coaching workflow with a roster of patients, branding it as part of your service, training staff on it, or relying on it for clinical decisions, please get in touch first.

Do you store patient data?

No. Intake answers, lab values, plans, ratings, journal entries, and favourites live only in the patient's browser. They are not transmitted to our servers during normal use.

Can I get a white-labeled or co-branded version?

Talk to us. The engine and content are open source under Apache 2.0; a co-branded or white-labeled deployment is a separate arrangement that lets us support you properly.

Can I see what my patient answered?

Only if they choose to share it — either by printing the Reference and Analysis sheets and bringing them in, or by using the clinician export, which composes a structured summary in their own mail client. Nothing reaches us in either case.

Is this a regulated medical device, CDS, or FDA/MHRA/TGA cleared?

No. Almavivo is an educational tool. It does record-keeping, question generation, and deterministic, evidence-tiered education. It does not diagnose, prescribe, calculate doses, or check interactions, and it should not be treated as a clinical decision support system.

Can I integrate it with my EHR or intake system?

There is no current integration. If you'd like one, get in touch with what you use and what you'd want the integration to do.

What about HIPAA, UK GDPR, EU GDPR, or the Australian Privacy Act?

Because patient answers don't leave the patient's device during normal use, we don't act as a processor of patient health data on your behalf. Your existing obligations apply to whatever you choose to record in your own systems based on what a patient brings in. Your privacy officer or legal counsel should be the source of truth for your jurisdiction.

What does training look like?

An informal walkthrough of the engine, the print sheets, the safety guards, and the boundaries is free. More structured training — staff onboarding, materials, an internal protocol — is part of a practitioner arrangement.

Can I link to Almavivo from my site or recommend it to patients?

Yes, and we appreciate attribution. There's no formal requirement. If you'd like a co-branded landing page, a referral arrangement, or a print pack for your waiting room, get in touch.

Is there a fee?

Depends on the arrangement. Casual recommendation is free. White-labeling, integration, training, and formal practitioner licensing are bespoke. Email us with rough roster size and what you'd want to use it for.