STEP 1:​​​​

Request a referral from an authorized health care provider


STEP 2:​​​​
Group Education Session (Publicly Funded, Monthly, Optional)


STEP 3:​

Pre-Visit Validated Questionnaires

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STEP 4:​

Preparing for Your First Registered Nurse Comprehensive Assessment

To help us make the most of your first appointment, we encourage you to come prepared with the following information. Having these details available allows us to better understand your health history, previous treatments, and goals, so we can provide the most personalized, evidence-based recommendations possible.

Please bring or have available:

• A current list of ALL prescription medications, including:

  • Medication name

  • Dose/strength

  • How often you take it (for example, once daily, twice daily, as needed)

  • How you take it (i.e. oral, injection, transdermal, applied to skin and location)

  • Why you take it (the reason or medical condition it is prescribed for)
     

• A list of all vitamins, supplements, and over-the-counter medications, including:

  • Product name

  • Dose/strength

  • How often you take it

  • What you are taking it for (its purpose or the symptom or health goal you are hoping it supports)
     

• Your history of hormone therapy or menopause treatments, including:

  • Any hormonal medications or treatments you have tried in the past

  • Approximately when you used them (start and stop dates, if known)

  • Whether they helped, caused side effects, or did not work as expected
     

• Your relevant medical history, including:

  • Significant medical conditions

  • Previous surgeries

  • Relevant family medical history (such as osteoporosis, breast cancer, ovarian cancer, cardiovascular disease, blood clots, or early menopause)

  • Personal and family mental health history

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A note about these conversations

At Milestone, we believe menopause cannot be understood in isolation. Your physical health, emotional well-being, life experiences, relationships, family history, and daily circumstances all influence how you experience this stage of life.

Some of the questions we ask may feel personal or bring up difficult memories or emotions. We ask them with compassion and without judgment, because understanding the context of your life helps us better understand your symptoms, identify factors that may be contributing to them, and develop a care plan that is truly individualized to you.
You are always welcome to share only what you feel comfortable discussing, and we will support you every step of the way.

It can also be helpful to bring a printed medication list from your pharmacy or jot down your medical history in advance. The more complete the information you are able to provide, the more time we can spend focusing on what matters most—listening to your story, answering your questions, and partnering with you to create a care plan that aligns with your health goals and values.

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​​​​​STEP 5:​

Comprehensive Midlife Health & Risk Assessment
• While traditional office visits often focus on symptom management within limited appointment times, Milestone was created to provide women with a more in-depth and proactive approach to midlife health. This begins with an in-person comprehensive assessment with a nurse trained in menopause care
• The Comprehensive Midlife Health & Risk Assessment with the Registered Nurse is being offered at $499. A receipt will be provided for submission to extended health care or HSA.

• What is included:

• A comprehensive review of your Netcare provincial Electronic Health Record (completed lab and diagnostic information)
  Please note that we do not order routine hormone testing, urine testing, or saliva testing as these are not supported by evidence-based menopause medicine or by any Menopause Society internationally

• Complete menopause symptom review (20+ validated symptoms)

• Medical surgical and medication history

• Evaluation of your breast, bone and heart health

• Completion of several validated assessment tools

• Vital signs and anthropometric measurements are collected

• Your entire profile is reviewed with the physician at the end of each day

• A welcoming, elevated experience created intentionally for women​

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STEP 6:​

Physician Consultation (Publicly Funded)
• Comprehensive care plan with an MSCP certified physician

• Evidence-based discussion of hormonal and non-hormonal options

• Integration of appropriate care pathways

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STEP 7:​

Ongoing Physician Follow-Up (Publicly Funded)
• Follow-up care tailored to your needs

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STEP 8:​

Allied Health Support (Covered by Extended Health Plans)

• Pelvic health physiotherapy

• Psychological and counselling services

• Exercise and strength training programs

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STEP 9:​

Evolving Care Pathways

• Ongoing development of programs to support lifestyle medicine & long-term health in menopause

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