How can we help you?

RTHM can help patients with medication access who are located in the following states: California, Colorado, Florida, Georgia, Illinois, Maryland, Massachusetts, New York, North Carolina, Ohio, Oregon, Texas, Virginia, Washington. More states to come.

The RTHM Clinic is available in Arizona, California, Colorado, Florida, New York, North Carolina, Oregon, Tennessee, Texas, Virginia, and Washington.

Anyone 18 or older located in one of the states we operate in can access our services.

Yes. As long as you're physically located within one of our active states, you are eligible for treatment, labs and consultations.

RTHM can only offer you consultative services and prescription refills in a state you're currently located in.

RTHM is accessible through the main RTHM web application, which is optimized for both desktop and mobile devices. You can access all features through your web browser on any device.

Signing up and interacting with the RTHM intelligence platform is free. You can access the world's most knowledgeable AI for complex chronic conditions at no cost. When you decide to level up your care by ordering a medication or lab via RTHM or joining the RTHM Clinic, you will be prompted to pay for the services.

At this time, RTHM does not accept Medicare or Medicaid.

RTHM's intelligence solution is particularly focused on infection-associated chronic conditions like Long COVID, ME/CFS, MCAS, and POTS and can provide useful insights for related complex chronic illnesses.

RTHM's intelligence platform is specifically built for patients with infection-associated chronic conditions. It combines comprehensive health assessments, validated questionnaires, medical records integration, AI-powered analysis, and a conversational interface. RTHM's platform provides personalized insights and suggestions around testing and treatments by recognizing complex patterns in your health data. It performs a root cause analyses, references a large collection of relevant research and clinical guidelines, and proposes evidence-supported hypotheses formatted into a personalized, actionable health roadmap.

You can still use RTHM's intelligence platform with a few limitations. The first one is that we cannot pull your medical records from the Health Information Exchanges (HIEs) outside of the US so you will need to upload your records manually. The platform is HIPAA compliant at this time - not GDPR, etc. Additionally, we do not currently offer any care options outside the U.S. (e.g. treatments, lab orders, and the RTHM Clinic).

RTHM's new intelligence system is open to everyone—no clinic subscription required!

Our system is not set up to sufficiently process genetic data yet, but it is a feature we are working on. If any genetic data is uploaded, the system may not parse or interpret those results accurately or correctly, so view the interpretation with caution. If you do upload genetic data, please let us know how the system did with it - it will help us as we develop this feature.

Your health data is stored securely and used to provide personalized insights and suggestions. We do not sell your data to third parties. Your data is only used to power the features of RTHM and improve the service. You can review our full privacy policy for more details.

Your health information is only accessible to you and RTHM's intelligence system. You can choose to share your health plans or specific insights and suggestions with your care team through the Care Team Sharing tools. RTHM staff might have limited access for tech support and customer service purposes but all access is logged and monitored. Additionally, you have the ability to delete your data anytime in your profile page.

If you choose to electronically pull your health records through the health information exchanges (HIEs), we are required to provide information back to the HIEs in return so your current and future clinicians can access it. The information we share back to the HIEs includes prescriptions and visit notes related to medications and services you order through RTHM as well as medically qualified questionnaires (except those for psychiatric conditions) that you answer. If you don't want anything shared back to the HIE, please skip the records connection step and upload your records manually.

Your questionnaire responses are used to assess your health status, identify potential conditions, and generate personalized suggestions. This data is stored securely and associated with your account to track changes over time and provide ongoing insights. If you choose to connect your records via the health information exchanges (HIE), we are required to provide some data back. We do so by sharing questionnaire information that is not about mental health conditions with the exchanges and where your other care providers can see them.

Yes, going into your RTHM profile and selecting "Delete Account" will remove all personally identifiable data from the platform. See the consent for more detail about how we use your de-identified data.

You have two options:

Upload directly: You can manually upload PDFs, lab results, and visit summaries directly into the platform—especially helpful for care received from smaller practices that may not be part of national exchange systems.

Consent to secure record retrieval: You can authorize RTHM to pull your medical records through Health Information Exchanges (HIEs). This typically includes records from hospitals and large care systems and will not include private clinics. RTHM securely retrieves the records using industry-standard protocols. They are stored encrypted and are only used to enhance your personalized insights and suggestions.

Yes, when you connect your medical records, they are transferred using secure, encrypted connections that comply with healthcare industry standards. We use established health information exchange protocols to ensure your records are protected during transfer.

All retrieved information is securely stored, encrypted and only accessible to you and your care team (or our AI system, when applicable). We synthesize and de-identify these records to generate insights.

If your records come from smaller electronic health records (EHRs) or independent providers not participating in Health Information Exchanges (HIEs), we recommend uploading those manually to complete your health profile.

We take privacy and security seriously, and never share your data without your explicit consent.

Your health data is only visible to you and, if you choose to share it, your healthcare providers. RTHM staff may have limited access for customer support purposes. RTHM also uses your de-identified health data to help improve suggestions for patients in the platform. We do not share your data with third parties without your explicit consent.

Yes, your conversations with the AI chat are saved to provide continuity in your interactions and to improve the service. You can view your chat history in your account and delete specific conversations if desired.

RTHM's intelligence platform is built for complex conditions where research evolves quickly and traditional care systems may sometimes lag behind. Our AI has access to:

• A large repository of curated research papers and clinical guidelines related to IACCs
• New IACC research and clinical guidance papers (added every 1-2 weeks)
• Thousands of real-world clinical and patient-reported outcomes

Our system is constantly improving—reading new studies, analyzing reported outcomes, and incorporating feedback from people using the platform. When a relevant paper gets published or a new treatment gains traction, we update the system so your insights stay up to date.

That said, no AI system is perfect, especially in areas as complex and under-researched as Long COVID, ME/CFS, POTS, and MCAS. We've tested RTHM's AI internally, with our patient advisory group, and with nearly 200 beta users before releasing it, but here's what we still want you to know:

• The AI may generate incomplete or incorrect suggestions, especially when limited data is provided
• The AI does not replace clinical judgment, though it is designed to complement it
• We encourage you to verify all AI-generated insights with your care team before making health decisions

We're committed to transparency, continuous improvement, and surfacing the limitations as clearly as the benefits. The more you use the platform, the better it becomes, for you and for the community.

You can connect your medical records through the Medical Records Integration feature. This process involves authorizing RTHM to access your records through health information exchanges. Step-by-step instructions are provided in the application.

No, you don't need to complete all the questionnaires. You can choose which questionnaires are most relevant to your health concerns. However, completing more questionnaires provides a more comprehensive assessment and can lead to more accurate insights and suggestions.

A Health Roadmap constitutes an analysis of your health care and generation of potential root causes and treatment/lab suggestions. Most patients complete their Health Roadmap protocol in under 10 minutes. But that depends on how much health data each person has.

Once your records are connected or uploaded, the AI analyzes your labs, clinical encounter notes, medications, and symptom history. It identifies potential root causes and generates tailored next steps based on the latest science.

That said, the depth and accuracy of your roadmap depends on how complete your profile is. If you already have recent labs, notes, or a detailed history, the process is fast. If not, you may need a bit more time upfront to upload or enter key details.

Questionnaire results are based on standardized scoring systems. If you feel the results don't accurately reflect your experience, you can retake the questionnaire or discuss the results with your healthcare provider. Remember that questionnaires are screening tools, not diagnostic instruments.

If you're experiencing issues connecting your medical records, the ID verification isn't working, or it pulled incorrect demographic information for you--please contact RTHM support using the support button in the platform.

Please note that not all healthcare systems or providers' records are available to be pulled electronically. You may need to go to some of your patient portals and download your records and upload them to RTHM manually.

Try phrasing your questions more specifically and providing context about what health aspect you're inquiring about. The AI chat works best with clear, focused questions. If you continue to experience issues, please provide feedback through the feedback button in the chat interface.

You can report bugs or suggest features by contacting RTHM support through the support button in the application. We value your feedback and continuously work to improve the RTHM intelligence platform based on user suggestions.

You can book a medication appointment with your provider from your dashboard.

If you are a patient using RTHM's direct prescribing or lab ordering services, you can reach out to your provider through our contact form. Your message will be routed to your provider who can answer your question through encrypted email communication.

Unfortunately, we don't allow changing the information in the intake form for regulatory reasons. If you believe you were unfairly disqualified from getting a treatment, please contact our customer support through your dashboard.

Generally speaking, yes. Generic medications have the same active drug as the name brand, but may have some different inactive ingredients. Generic drugs are usually far less expensive than brand name. If you know that you tend to tolerate brand name drugs better than generics, prefer the brand name, or are already stable on the brand name and wish to stay on it -- please write that in the free text notes before you submit your prescription request.

RTHM currently offers the following medications: LDN, Metformin, Ivabradine, Oxaloacetate, Ketotifen, Pyridostigmine, Propranolol and Midodrine. More medications to come soon, including Cromolyn and Guanfacine.

If there's a medication you'd like us to add, please send us a message in the platform using the feedback tab or at the bottom of this page using the Contact Us button.

RTHM relies on Stripe for our payment processing needs. This external service provider is recognized for achieving the industry's highest security standards. Stripe adheres to top-tier practices for the storage, decryption, and transfer of card details. Rest assured, all personal data is safeguarded with the utmost security measures.

RTHM uses external vendors to negotiate and provide discount cards that can be used at the pharmacy of your choice. Oftentimes, using the discount card provided, patients can obtain an even lower price than they would if they used their insurance.

Yes. On your patient dashboard you will be able to see the status of your assessment and whether the prescription has been sent to your pharmacy. Additionally, you will be receiving an email whenever the clinician has reviewed your health assessment and sent a prescription to your pharmacy.

At this moment, we do not have the ability for patients to schedule a recurring order for medications. Most medication flows will provide patients with 90 days worth of supply, although some of them will require the patient to check in with updated symptoms, vitals, side effects before refills are sent.

Make sure to whitelist RTHM's email address from your prescription approval email as we will send you an email reminder a few weeks before you should be running low. You can request your refill through your dashboard up to 2 weeks ahead of when you should run out of medications.

If you are running low and your medication is not showing it is up for renewal in the dashboard, please contact support via your dashboard right away.

Once your prescription is approved and sent to your pharmacy of choice, you will need to get in touch with the pharmacy on fulfillment timelines. Usually pharmacies take less than 20 minutes to process your prescription.

To change your pharmacy after your prescription has already been sent, please contact the pharmacy that the prescription was sent to and request they transfer it to your preferred pharmacy.

If your prescription was sent to Amazon Pharmacy, Cost Plus Drugs, or another large mail order pharmacy, they usually don't answer the phone, so please contact RTHM support within your dashboard so we can re-submit the prescription to your other pharmacy.

No. RTHM's care options are only available in the U.S.

Once you submit your online assessment, a RTHM provider will review the information and, if a prescription is medically appropriate for your case, they will send the prescription to the pharmacy of your choice. Once the pharmacy receives the prescription, fulfillment is based on the pharmacy's schedule and availability.

At this moment, we do not have the ability for patients to schedule a recurring order for medications. Most medication flows will provide patients with 90 days worth of supply, although some of them will require the patient to check in with updated symptoms, vitals, side effects before refills are sent.

Make sure to whitelist RTHM's email address from your prescription approval email as we will send you an email reminder a few weeks before you should be running low. You can request your refill through your dashboard up to 2 weeks ahead of when you should run out of medications.

If you are running low and your medication is not showing it is up for renewal in the dashboard, please contact support via your dashboard right away.

RTHM's medications service does not require a direct consultation with a clinician at this time. A clinician will review the information you have provided in your assessment and decide whether a medication is appropriate for you. If you would like to consult with the clinician, you do have the option to book a medication consultation anytime you get an approved medication from RTHM.

Please note, we may add new medications to RTHM's direct medication service in the future that require a telehealth consultation--this will be clearly indicated on the medication page and in the medication flow.

No, RTHM does not require a referral. That said, our services are in no way a replacement for your primary care provider, in fact, we request that you notify your primary care of any new treatments you start from RTHM so they can stay in the loop on your treatment.

Once you submit your assessment for a specific medication, a clinician will review your information and assess whether the medication is appropriate for you. If the clinician deems this medication appropriate, they will send the prescription to your pharmacy of choice for regular medications, or to our partner mail order compounding pharmacy for compounded medications.

To change your pharmacy after your prescription has already been sent, please contact the pharmacy that the prescription was sent to and request they transfer it to your preferred pharmacy.

If your prescription was sent to Amazon Pharmacy, Cost Plus Drugs, or another large mail order pharmacy, they usually don't answer the phone, so please contact RTHM support within your dashboard so we can re-submit the prescription to your other pharmacy.

No. Your intake form responses will give the clinician the information they need to prescribe a treatment for you. If our providers need additional information, we will reach out to you.

Contact RTHM support and we will walk you through the process.

You can submit a claim to your insurance provider, but we can't guarantee they'll reimburse you.

RTHM's direct medication service is designed as cash pay and provides a discounted cash pay coupon code for you to use at your pharmacy for non-compounded medications. While some patients do find that their insurance ends up covering the medication at the pharmacy, please do not expect that to happen. We do not work directly with or guarantee coverage of medications by your insurance.

We also do not complete prior authorizations for medications prescribed through this lower touch prescribing service. Prior authorization requirements are decided by your health insurance provider. You can check with your pharmacist or health insurance provider to find out if your prescribed medication is covered by your insurance.

Your payment method will be charged only if/ when one of our clinicians has reviewed and approved your prescription request. If your request is not approved, you won't be charged. A hold for the amount of the charge is put on your method of payment to reduce the risk of a payment being declined - that hold is removed if your prescription request is not approved.

If your payment method was declined you will be prompted to try again. Otherwise, please contact support via your dashboard.

RTHM accepts all major credit and debit cards (Visa, MasterCard, American Express, Discover, etc.) via Stripe.

The payment amount will show next to "RTHM Direct - rthm.com". No other details will be included.

The information on prescription medication returns should be consulted with the pharmacy. Generally speaking, prescription medication cannot be returned. Please contact the issuing pharmacy for more information.

RTHM's safety assessments range from $49 to $59 and are only charged if the clinician approves your prescription request, which covers the prescription and support for 90 days.

The cost of the medication itself is paid separately to the pharmacy. A discount card is provided for non-compounded medications to reduce the medication cost at the pharmacy for you. Some pharmacies have cheaper costs for the same drug, which should show up when you select your preferred pharmacy.

Once you've submitted a request for a medication to our clinician team for review, we are unable to issue refunds for the safety assessment fee. Please note, you are not charged the fee if your prescription request is declined by our clinician team. However, if you suspect an error in your prescription or have any questions or concerns about prescribed medication, feel free to reach out to our support team here. We're happy to assist!

Patients must be treated by a medical provider licensed in the state they are located in, according to U.S. medical regulations. We ask for your location to ensure we're in compliance.

We take data privacy and security very seriously. Your personal information is only shared with third parties as detailed in our privacy policy.

You can get in touch with us by clicking here.

We currently can see patients in Arizona, California, Colorado, Florida, New York, North Carolina, Oregon, Tennessee, Texas, Virginia and Washington, with additional states coming soon. We cannot provide care for patients outside the US.

Yes, we accept patients who developed Long COVID symptoms after vaccination as well as after infection! We are interested in the mechanisms behind "vaccine long haul" and how they are similar and different from "infection-induced long haul." At RTHM, we feel it's our duty to help the people who got the vaccine to help protect themselves and those around them and then suffered ill effects.

No, RTHM does not replace your primary care physician. You are required to have a primary care physician while you work with RTHM.

RTHM focuses on complex illness medicine rather than primary care, and we'll do our best to coordinate WITH your primary care physician to care for your Long COVID symptoms and conditions.

We recommend seeing your primary care physician for age-appropriate cancer & disease screenings and management, as well as for acute issues (e.g. urinary tract infection, strep throat, etc.). We do not have providers on call after hours to handle acute care problems. For acute care issues, please see your local primary care, urgent care, or ER.

All appointments with your RTHM Clinic team are virtual/telehealth visits. You may need to go to a nearby lab to have blood (and possibly urine or saliva) tests done, go to an imaging center, or visit certain specialists as recommended by your RTHM provider. Your RTHM Clinic team will work with you to locate a specialist, imaging center, lab draw location, or arrange for a mobile phlebotomist to come draw your labs at your home for a fee.

You can, but it is A LOT of blood to have drawn at one time, so we generally order it in segments and have patients get a smaller volume of blood drawn every 1-2 weeks, especially if you have post exertional malaise (PEM or PESE), tend to get lightheaded easily, or know that you tend to become more symptomatic after blood draws.

If you are anemic, iron deficient, or get very ill with blood draws, please let your RTHM provider know at your first visit. There are some lab companies that can run more labs on less tubes of blood, but they do not accept insurance. Using such a lab may be a better option for you.

You will have access to our patient portal, your health plan summary from each provider visit, your health history summary, health metrics, vital signs, lab and imaging results. Research data used for diagnostics development is not available for download until we have published it. You will have the ability to download your clinical data and/or share it with your providers outside of RTHM (we encourage this!).

We cannot prescribe any controlled substances or any medication that requires an in-person exam prior to prescribing. You will need to have any controlled substances prescribed by one of your local medical providers.

Yes. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public. The information can be accessed here.

No, not at this time. We are also unable to accept patients with Kaiser Permanente, VA or TriCare, Medicare, or Medicaid (MediCal in CA) health plans. These plans either do not legally allow patients to pay cash for parts of their care or do not generally cover the labs, imaging, procedures, referrals or treatments prescribed off label by clinicians not in their networks.

We are not contracted or in network with any health insurance provider at this time.

Your Flexible Spending Account (FSA) or Health Spending Account (HSA) can be used to pay for many of the costs associated with your care through RTHM, including the RTHM Clinic membership costs. Please see the details of your health plan's HSA or FSA for more information.

Yes! RTHM can provide you with superbills for your visits if you wish to try to get some of the costs reimbursed on your own through your out-of-network insurance benefits.

This answer depends on your individual insurance plan, as each has different laboratory testing coverage policies & rates. Our providers order labs through Quest Diagnostics because Quest is contracted with most major PPO insurance plans. If Quest is a contracted lab for your insurance plan, most of the labs ordered by your RTHM provider through Quest should be covered, but please check your individual insurance plan (since Quest is the one that bills your insurance for the labs, not RTHM). Your deductible and co-pays may still apply to lab costs.

If you wish to have more of the costs covered by your insurance provider, you are going to have to address this matter yourself with your insurer.

Then, unfortunately we will not be able to have you join RTHM Clinic as a patient.

The extensive labs we order for RTHM Clinic patients can be quite expensive and are generally not affordable without insurance coverage.