MyCatholicDoctor.com | MyCatholicDoctor

"Do not be afraid, I am with you," Isaiah 41:10.

Technical Support: (314) 888-5233 x9902

Get Connected Now

Before being connected to a clinician you will need to answer a short set of questions. Your answers will help us match you with the best clinician. Once matched you will be presented with a link to start your video consultation.

Please dial 911 now if you are experiencing chest pains or other life threatening medical or mental health conditions. This telehealth service is not intended for emergency care.

In grateful partnership with:

Is the patient a new MyCatholicDoctor patient?

Only answer No if the person requesting medical care is an established patient who has been seen previously by a MyCatholicDoctor clinician.

Patient's name

First Name

Please enter the patient's first name

Middle Name / Initial

Please enter the patient's middle name or initial

Last Name

Please enter the patient's last name

Patient's date of birth

Please enter the patient's date of birth

Checking availability. Please wait...

Unfortunately, there are no clinicians licensed in your state who are currently available to see you. Instead, please consider scheduling an appointment with a clinican licensed in your state.

Patient's gender

Please select an option

Patient's current location

Please select which state the patient is currently in

Patient's home mailing address

Address Line 1

Please enter your mailing street address

Address Line 2

City

Please enter your mailing city

State

Please select your mailing state

Zip Code

Please enter your 5 or 9 digit mailing zip code

Patient's email

Email Address

Please enter the patient's email address

We do not spam. Your email address is only used to communicate matters related to your account with MyCatholicDoctor.

Patient's phone

Your number is kept securely in your medical record and only used to communicate matters related to your account with MyCatholicDoctor.

Primary Phone

Please enter the patient's valid 10-digit primary phone number

My primary phone is also my mobile phone

Mobile Phone

Please enter the patient's valid 10-digit mobile phone number

Patient's primary concern

In a few sentences please describe the reason for the appointment and/or the patient's primary area of concern:

Please enter the primary area of conern

Your insurance company

What insurance do you have?

Please enter the name of your insurance company, or "none" if self-pay.

Please enter just the name of your insurance company, health share, or "none" if self-pay. Knowing your insurance will better help us match you to a clinician who is in network. In the next step you may be asked to provide a picture of your insurance card.

Successful billing of your insurance is not guaranteed. If your clinician is out of network you will be billed our self pay rates.

Patient's insurance card

Uploading a photo of your insurance card allows us to bill your insurance. Smartphone users can take the photos with their phone by clicking the buttons below. Desktop or Laptop users should first use their webcam, digital camera, or smartphone to take the photos and save them to your computer. Then come back and use the buttons below to select your photos.

Insurance Card Front

Please upload a picture of your card's front.

Insurance Card Back

Please upload a picture of your card's back.

I do not have insurance nor participate in a health share. I understand I will be billed directly and have reviewed the payment options on this website.

Last step. Please confirm your information

I give permission for MyCatholicDoctor to text and/or call me at the number(s) provided above, if needed, to help me join my requested video consultation. Standard message and data rates may apply.

I am aware and have reviewed MyCatholicDoctor's Terms of Use, Privacy Policy, Consent to Treatment and any payment terms that may apply to me.

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