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Home› Online Consult

Telemedicine · $89 Flat Fee

Patient Online
Consult Form

See a physician without leaving home. Complete the form below and a doctor will consult with you within 2–3 hours. Any prescription will be sent to your nearest pharmacy within 1 hour of your consultation.

💬 Response within 2–3 hrs 💊 Rx in 1 hr 💳 $89 flat fee 🚫 No pain medications
⚠️ This service is for non-emergency consultations only. We do not prescribe pain medications. For life-threatening emergencies please call 911 immediately.
📝

Describe Your Symptoms

  1. Patient Info
  2. Contact & Referral
  3. Medical History
  4. Files & Submit

All fields marked with * are required and must be filled.

"Describe how you are feeling, e.g. I have a sore throat for x many days or my ear aches or it hurts when I urinate or I have a cut etc... at the end of this form, please attach pictures of the areas you would like us to assess. If you need a medication refills, write the name of the medication as it shows in the original medication order e.g. Keflex 500 mg po qid #40 etc.. and attach a picture of the old rx. We donot provide pain medications.."

Please enter a valid phone number. Format: (000) 000-0000.

Contact & Referral

Person to contact in case of an emergency

Please enter a valid phone number. Format: (000) 000-0000.

Referred by

Medical History

Do you have Kaiser Insurance? *
Do you have any allergies (penicillin, eggs, shellfish, metals, iodine, etc)? *
Are you currently taking medications? *
Do you have a bleeding disorder? *
Do you have menstrual cycles that are heavy and last more than seven days? *
Do you have a history of poor healing? (ie. Keloids, diabetes, etc) *
Are you pregnant? *
If you had children, did you have any through c-section? *
Have you had a hysterectomy? *
Have you had your gall bladder removed? *
Have you had your appendix removed? *
Have you had weight loss surgery? *
Have you ever had Bell’s Palsy? *
Do you smoke? *
Have you ever had any problems with general anesthesia? *
Have you ever had any problems with local anesthesia? *
Have you had any previous surgery? *
Do you drink alcohol? *
Have you ever had a history of facial numbness or weakness? *
Have you ever had a cold sore? *
Have you ever had a herpes out-break? *
Have you ever had an AIDS test? *
Do you have high blood pressure? *
Do you have varicose veins? *
Have you recently had a weight loss or gain (over 10 lbs)? *
Have you ever had hepatitis or jaundice? *
Do you have any eye problems? *
Has any member of your family ever had a problem with local or general anesthesia? *
Is there any medical condition that you have that I should know about? *
Have you experienced a recent emotional crisis? *
You give us permission to talk to your doctor about your care at Foggy Bottom Clinic. *

Files & Submit

    JPG, PNG, HEIC, PDF · up to 10 files · max 8 MB each (15 MB total for all uploads).

      Prefer to call?

      For same-day urgent care or to speak with our team directly, calling is the fastest option.

      202.463.5141

      Mon – Fri 8 am – 5 pm  ·  Sat 8:30 am – 1 pm

      Schedule In-Person Visit

      💬  How It Works

      1
      Complete this formDescribe your symptoms and upload any relevant photos or lab results.
      2
      Physician reviewA doctor reviews your submission and consults with you within 2–3 hours.
      3
      Prescription sentIf medication is required, it is called in to your chosen pharmacy within 1 hour of consultation.
      4
      Pay $89Flat consultation fee. No hidden charges. We do not prescribe pain medications.

      🕐  Clinic Hours

      Mon – Fri8:00 am – 5:00 pm
      Saturday8:30 am – 1:00 pm
      SundayClosed

      📍  Our Location

      🏢
      Address908 New Hampshire Ave NW
      Suite 400, Washington, DC 20037
      (24th and I)
      📞
      Phone202.463.5141
      💳
      Consult Fee$89 flat fee
             
      Scan Qr Code to save Vcard

      About Our Practice

      Dedicated to your community

      At Foggy Bottom Clinic we are dedicated to serving the community through personalized and timely medical visits. We do this by limiting the number of patients we schedule each day and making sure our doctors are accessible for urgent care appointments and follow-up needs.

      Schedule an In-Person Visit
      📍 Location908 New Hampshire Ave NW, Suite 400
      Washington, DC 20037  (24th and I)
      📞 Contact202.463.5141
      Call first for urgent care availability
      🕐 HoursMon – Fri: 8:00 am – 5:00 pm
      Saturday: 8:30 am – 1:00 pm