11 medications.
5 specialists.
0 coordination.
One geriatrician changes that equation.
Tend
Accepting new patients · Most Medicare plans accepted · Telehealth available
65%
of adults over 65 are on multiple medications simultaneously — a condition with measurable risks most single-specialty offices are not designed to address.
Source: U.S. Centers for Disease Control and Prevention; polypharmacy prevalence data in adults 65+
175K+
ER visits annually from adverse medication reactions in adults 65+
30%
of hospital admissions in older adults are drug-related
A primary care doctor who trained to understand aging as its own discipline.
Geriatricians are less likely to prescribe inappropriate medications to the elderly — and more likely to ask what the patient actually wants from their care.
— Clinical literature synthesis, geriatric medicine outcomes research
Medicine that sees the whole person, not the presenting complaint.
A Comprehensive Geriatric Assessment is not a single test — it is a structured conversation across every domain that shapes how an aging body functions and feels. It takes time. It requires a physician who has been trained to listen for what isn't said as carefully as what is.
Medications
Every prescription, OTC drug, and supplement reviewed for interactions and age-appropriateness.
Cognition
Standardized screening for memory, processing, and executive function — catching changes early.
Mobility & Falls
Gait speed, balance, and fall history assessed together as a single, connected picture.
Mood
Depression and anxiety are common, underreported, and treatable in older adults.
Nutrition
Unintentional weight loss and appetite changes are taken seriously as diagnostic signals.
Social context
Who is home, what support exists, and what the patient values — all part of the assessment.
51%
Reduction in hospital readmission risk for older adults who received Comprehensive Geriatric Assessment care.
Source: Meta-analysis of 29 controlled trials, CGA outcomes in hospitalized older adults (RR 0.49)
More likely
Older adults receiving CGA care were more likely to be alive and living at home 12 months after hospitalization.
Shorter stays
Patients of geriatricians experienced shorter hospital lengths of stay without adverse impact on outcomes.
Go home
Patients with geriatric hospital care were more likely to discharge directly home — not to a rehabilitation facility.
The 10-point checklist
before the first visit.
A geriatric appointment works best when you arrive with information. This checklist helps adult children and patients prepare — so the physician can spend the hour listening, not gathering.
Preview — 3 of 10 items
Track all medications — prescribed, over-the-counter, and supplements
Write the name, dose, prescribing doctor, and the original reason for each drug. Include vitamins and herbal supplements — they interact with prescriptions.
Note every fall in the past 12 months, even the "minor" ones
Include near-falls and the circumstances: time of day, footwear, surface, what they were doing. Patterns reveal risk factors a single office visit can miss.
Write down the cognitive changes you've noticed at home
Families often observe things that don't surface in a clinical office visit. Repetition, word-finding pauses, changes in cooking or driving — all of it matters.
Download the full checklist — no account required.
We'll send it straight to your inbox. Nothing else unless you ask.
−73%
Reduction in fall-related injury rates following geriatric risk assessment and physical activity intervention. Source: Healthy People 2030 fall-reduction analysis
A fall is rarely just a fall.
It is often the first visible signal of a medication interaction, a balance disorder, a change in blood pressure regulation, or the early signs of something that, caught now, can be treated. A geriatrician reads falls as the body's language — and responds in kind.
Nearly 1 million older adults are hospitalized each year for fall-related injuries. The number is not inevitable. Structured geriatric assessment and personalized intervention change the trajectory — measurably and meaningfully.
Schedule a first visit.
A first visit with Tend is 60 minutes. We review your full medication list, discuss what's changed, and begin building a picture of your health that no single specialist can see alone.
Tell us a little about your situation
A brief intake form — takes about 4 minutes. We ask about current medications, recent changes, and what you most want to address.
Choose a time that suits you
Morning, afternoon, or telehealth. First visits are scheduled for 60 minutes — not 15.
Meet your geriatrician
No waiting room rush. Your appointment starts on time and ends when your questions are answered.
Accepting new patients · Most Medicare Advantage plans accepted
For referring physicians
We accept referrals for complex older adults — polypharmacy, functional decline, frailty, cognitive change. Same-week consultation available for urgent cases.
Send a referral