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Start a secure conversation in Spruce.
CARE FROM YOUR COUCH
Ohio only · Clinicians available 24/7
Feeling unwell and unsure where to start? Get a clinician-led evaluation for one suitable concern for $40. Start with secure messages; your clinician can arrange video if needed. You must be physically in Ohio.
Consultation $40 · Medication and labs extra. Average clinician response: 30 minutes after a complete eligible request; individual wait times vary.

“I’m feeling unwell. Can I start from home?”
Message an Ohio clinician about your concern.
Illustrative scene and message.
Start a secure conversation in Spruce.
Tell your care team what you need, securely.
Your clinician reviews your request and explains the next step.
Online Urgent Care is for one straightforward concern when secure messaging can provide enough information for a suitable evaluation. Your clinician may ask follow-up questions or recommend in-person care.
Online Urgent Care is not emergency care or an unlimited review of multiple unrelated concerns. If a different service is recommended, its fee must be explained before you agree.
For a medical emergency, call 911. Do not wait for an online response.
Urinary symptoms? Read our guide to online UTI care in Ohio, including testing and how we help with the next steps.
Yes. Clinicians are available 24 hours a day, seven days a week, for eligible patients physically in Ohio.
Our average clinician response is 30 minutes after a complete eligible request. Individual wait times vary. This is not a guaranteed maximum or a promise of completed treatment within 30 minutes.
Your clinician will listen to your concerns and recommend the next step. When medication is appropriate, they can send a prescription to your chosen pharmacy. Your visit includes this assessment and guidance, whether or not medication is recommended.
No. Pharmacy medication and laboratory testing cost extra unless explicitly included in your quote.
We are a cash-pay service. Ask the team about any coverage-related restrictions before payment.
No. You must be physically in Ohio during your encounter.
Use the secure Spruce intake and clinical messaging channel. Do not share medical details in public comments or payment notes.
Start with secure messages. Your clinician may arrange a video visit if needed. See how online visits work.