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Understand your brain health

Noticing changes in your memory, or concerned about your brain health? Brainy Activ Precision is a GP-led assessment designed to help you understand your current brain health and identify ways to reduce the risk of memory and concentration problems in the future.

Many people worry that memory concerns automatically mean dementia. In reality, memory changes can have many causes, and there are often practical steps that can help. Brainy Activ Precision is designed to clarify what may be contributing and guide what to do next.

It can also be helpful to involve a family member or someone close to you, as they may provide an additional perspective on changes that have been noticed.

Understand your brain health
Who we help

Who we help

Many people who seek a brain health assessment have noticed subtle changes in memory, concentration, or day-to-day confidence. However, you do not need to have symptoms to attend.

Brainy Activ Precision may be suitable if:

Someone close to you has noticed changes in your memory, concentration, or day-to-day functioning
You have a family history of dementia
You have medical conditions that may affect brain health. Learn more
You want reassurance about your current brain health
You want to understand your risk and take practical steps to support your brain health

Brain health risk factors

A number of common medical conditions and lifestyle factors are associated with an increased risk of dementia over time. Many of these affect blood flow to the brain, how the body processes energy, sleep quality, or how actively the brain is used and engaged. Over time, these factors can contribute to gradual changes in memory and other cognitive functions.

Importantly, many of these factors can be identified and improved. Addressing them early is an important part of protecting brain health over the long term.

Common medical conditions and risk factors include:

High blood pressure
High cholesterol
Diabetes
Obesity
Smoking
Excess alcohol use
Physical inactivity
Hearing loss

Vision loss

Depression

Social isolation

Traumatic brain injury

Air pollution

Lower levels of education

How the clinic works

Brainy Activ Precision is centred around a comprehensive GP consultation, supported by a pre-assessment form completed before your appointment. This helps your GP understand your concerns, medical history, lifestyle, and relevant risk factors before you arrive.

During the consultation, the treating team will review your memory and thinking concerns, medical background, and individual risk factors. The aim is to identify factors that may be contributing to current changes, as well as areas that may be important for future brain health.

Where appropriate, targeted investigations may be arranged. These may include blood tests, brain imaging, hearing assessment, sleep assessment, or formal cognitive assessment with a neuropsychologist.

At your review appointment, your results are explained clearly and brought together into an individualised plan to support your brain health and guide next steps.

A family member, partner, or someone close to you is welcome to attend the consultation. They can also help complete the pre-assessment form if needed.

Pre-Assessment

Complete online before your appointment

Complete pre-assessment form

GP Consultation (45 minutes)

Comprehensive assessment of symptoms, history, and risk factors

Targeted Blood Tests and Imaging

As indicated based on your assessment

Neuropsychology Assessment

Formal cognitive testing if required with Dr Natalie Grima

Learn more

Other Specialised Tests or Referrals

Individualised based on your needs

GP Review (45 minutes)

Review results, clarify findings, and develop a personalised plan

Ongoing Management and Support

Monitoring, treatment, and referrals as appropriate

Ongoing support

Following your assessment, you will receive a clear explanation of your findings and an individualised plan. This may include monitoring, addressing specific medical or lifestyle factors, or referral for further assessment where needed.

Where appropriate, the broader Brainy Activ programs may help you put recommendations into action and support your brain health beyond the initial assessment.

COMING SOON: 
Build your brain health

Blueprint helps turn brain health knowledge into practical everyday action. With clear guidance, simple tools, and expert support, it gives you structure, confidence, and practical momentum.

  • Focus on what matters
  • Build sustainable
  • Tap into tools and expert guidance

Strengthen your brain health

Protect is a guided exercise program designed to support brain health through movement, challenge, and expert coaching. It helps you build strength, confidence, and consistency in a way that feels engaging and achievable. 

  • Exercise designed for brain health 
  • Movement, challenge and variety 
  • Progress you can see

Neuropsychology assessment

Neuropsychology assessment may be recommended when there are concerns about changes in memory, concentration, thinking skills, behaviour, or day-to-day functioning. It involves structured testing with a clinical neuropsychologist to better understand an individual’s cognitive strengths and difficulties. It can help clarify whether changes are consistent with normal ageing, mild cognitive impairment, treatable or manageable contributing factors, or another underlying condition.

The type of assessment recommended will depend on the person’s current situation and what needs to be clarified clinically. For most people, the recommended appointment is a 90-minute cognitive assessment, with additional time for feedback and preparation of a detailed report. In total, this involves more than two hours of a neuropsychologist’s clinical time. A more detailed assessment may be recommended where symptoms are more significant, complex, or require further diagnostic clarification.

Neuropsychological assessments are conducted by clinical neuropsychologist Dr Natalie Grima

Fees

Bluff Road Medical is a private-billing medical clinic. Costs vary depending on your individual assessment and which investigations or referrals are recommended. Please contact reception on (03) 9598 6244for detailed fee information before your appointment.

Costs listed below are indicative out-of-pocket or private fees where applicable. Your GP will discuss any recommended investigations or referrals with you before they are arranged.

Pricing information

Service Details Cost
GP Consultations 2 × 45-minute consultations, including initial assessment and review Standard practice fees apply $348 per 45-minute consultation, with Medicare rebate $125.10 Out-of-pocket cost: $222.90 per consultation
Blood Tests Tailored to your assessment, including routine and specialised investigations where appropriate Baseline tests are generally covered by Medicare Additional specialised tests may be discussed during your consultation
MRI Brain
MRI brain scan to assess for structural changes relevant to memory and brain health
$290
Neurocognitive Assessment 2+ hours total, including a 90-minute cognitive assessment with a neuropsychologist, feedback on findings, and a detailed report $550. More comprehensive assessment options may be recommended in some cases where clinically indicated
Auditory Cognitive Assessment Assessment of hearing and its impact on cognitive function $180, with rebate $54.95 Out-of-pocket cost: $125.05

More information about Brainy Activ Precision

What conditions can affect brain health?
Many medical, lifestyle, sensory, psychological, and social factors can influence brain health over time. These may include sleep quality, mood, hearing and vision, vascular and metabolic health, inflammation, social connection, and how actively the brain is used and engaged.

Many of these factors can be identified and acted on.

This is why Brainy Activ Precision looks beyond thinking symptoms alone. We consider the broader health picture to help identify factors that may be contributing to current changes, and opportunities to support long-term brain health:

  • Common factors can impact brain health.
  • High blood pressure
  • High cholesterol
  • Poor sleep, such as insomnia and sleep apnoea
  • Diabetes
  • Higher weight or metabolic syndrome
  • Smoking
  • Excess alcohol use
  • Physical inactivity
  • Hearing loss
  • Vision loss
  • Depression
  • Social isolation
  • Traumatic brain injury
  • Air pollution
  • Lower levels of education

Reference: Livingston et al., 2024

What investigations might be recommended?
Investigations are tailored to the person and are not the same for everyone. Depending on your history and concerns, your GP may discuss blood tests, brain imaging, neuropsychology assessment, hearing assessment, sleep assessment, and other assessments if clinically indicated.

The aim is to identify factors that may be contributing to memory or changes in your thinking, with the goal of creating a clear management plan tailored to your needs and goals.

What is a neuropsychology assessment?
A neuropsychology assessment is a structured assessment of memory and thinking skills. It is completed with a clinical neuropsychologist and will examine higher-level cognitive processes such as attention, planning, organisation, language, processing speed, visual processing, new learning and memory

A neuropsychological assessment can help clarify whether changes are consistent with normal ageing, mild cognitive impairment, dementia, or other reversible factors such as mood, sleep, medical conditions, or medications. Your GP will discuss whether it is appropriate for your situation.

Neuropsychology assessments are conducted by clinical neuropsychologist Dr Natalie Grima

Who is involved in Brainy Activ Precision?
Brainy Activ Precision is a GP-led assessment pathway, with input from other health professionals where appropriate. Depending on your needs, this may include neuropsychology, exercise physiology, audiology, sleep support, or specialist referrals.

Dr Michael Holland

Dr Michael Holland is a GP with expertise in proactive brain health prevention, and the medical drivers of memory and cognitive change. In Brainy Activ Precision, he delivers the GP assessment, evaluates key medical and lifestyle factors, arranges targeted investigations as needed, and coordinates the appropriate next steps.Read More

Dr Natalie Grima

Dr Natalie Grima is a clinical neuropsychologist who provides compassionate, evidence-based cognitive assessment. Her areas of interest include neurocognitive assessment for dementia, mild cognitive impairment, concussion, acquired brain injury, multiple sclerosis, and other neurological and mental health conditions. Natalie also contributes to Brainy Activ Blueprint, helping shape education and practical strategies for people with memory concerns, mild cognitive impairment, or early cognitive change. Read More

What is Brainy Activ Protect?
Brainy Activ

Brainy Activ Protect is the exercise-based support pathway within Brainy Activ, delivered with MedHP. It provides structured, supervised exercise programs designed to support brain health through strength training, aerobic exercise, balance and coordination, and dual-task training.

Where appropriate, Protect may be recommended as part of your plan to help support brain health, physical function, confidence, and long-term independence.

Sam Waley

Sam Waley is an exercise physiologist at MedHP and leads the Brainy Activ Protect program. He supports patients to build safe, structured exercise habits tailored to their health, fitness, and confidence. Through Brainy Activ Protect, Sam helps translate brain health recommendations into practical movement, strength, balance, and conditioning programs that support long-term function, independence, and wellbeing. Read More [links to MedHP Protect page]

Learn more about Brainy Activ Protect

What is Brainy Activ Blueprint?
Brainy Activ Blueprint is in development as a practical education and guidance program that helps people build brain‑health knowledge and turn it into meaningful daily action. It will highlight the lifestyle habits, risk‑factor insights, and practical tools that support long‑term brain health and steady momentum. More information will be added as the program evolves.
What is the pre-assessment form?
The pre-assessment form is an online questionnaire completed before your first Brainy Activ Precision appointment. It asks questions about the concerns you have with your thinking skills, medical history, lifestyle, mood, sleep, hearing, and how you manage day-to-day activities.

This helps your GP understand your concerns before the consultation and make better use of the appointment time. A family member or support person can help complete the form, and they are encouraged to attend the appointment with you.

The form does not make a diagnosis by itself. It helps guide the consultation and identify which areas may need closer attention.

Can a family member or support person be involved?
Yes. A family member, partner, or support person is welcome and often helpful. They may notice changes that are difficult for the patient to describe, and can help provide context about day-to-day function, memory, mood, sleep, and safety.

They can also help complete the pre-assessment form, and attend the consultation if the patient is comfortable with this.

What costs should I expect?
Brainy Activ Precision is a private-billing assessment pathway. Costs vary depending on which investigations or referrals are recommended. Your GP will discuss any recommended tests and likely costs before proceeding.
Do you have a privacy policy?
Yes. Brainy Activ Precision is delivered through Bluff Road Medical and follows the clinic’s privacy and confidentiality policies. Information collected through the pre-assessment form and consultation is used to support your clinical care. You can read the Bluff Road Medical Privacy Policy via the link below.

View privacy policy

Is Brainy Activ Precision involved in research?
Brainy Activ Precision may contribute to research or quality improvement projects in the future, with the aim of improving how brain health is assessed, monitored, and supported in primary care.

If research opportunities become available, participation will be optional. Your care will not be affected if you choose not to participate. Any research involving patient information would only occur with appropriate consent, privacy safeguards, and ethics approval where required.

Dementia risk is not set in stone

Dementia risk is not set in stone

Up to 45% of dementia risk may be linked to factors we can identify and act on. Start with a Brainy Activ Precision appointment to understand your risks and take the next step.