How It Works

First-Time Visitor Guide: How "Start Consultation" Works

"Start Consultation" walks you through a short series of questions in order. The list of checks may look long, but each step is required so that — under each state's medical rules — we can safely see you online. The interface guides you; you simply pick your answers in turn.

1. 1

   Check for life-threatening emergency symptoms

   First, we confirm there are no symptoms that may be life-threatening — severe chest pain, sudden difficulty breathing, decreased consciousness, and similar — for which 911 or an ER visit cannot wait for an online consultation.

2. 2

   Check whether your concern is something Sky e-Clinic can safely handle online

   We confirm the issue does not require in-person examination, procedures, or imaging that cannot be safely managed by telehealth.

3. 3

   Confirm the state you are physically located in

   In the U.S., the rules of the state where you are physically located at the time of the visit apply — even for telehealth. We confirm your current state.

4. 4

   Confirm first visit, follow-up, or prior chat-visit history in this state

   Is this your first time, a follow-up, or do you have a prior chat-visit history in the same state? This determines which path applies.

5. 5

   Confirm sex assigned at birth and age

   For safe and appropriate care, we confirm your sex assigned at birth and your age.

6. 6

   Pick your symptom or category

   Choose what you would like to discuss — pick a symptom or a category.

7. 7

   Confirm the consultation method

   Based on your state and your concern, confirm the available consultation method (chat, video, or phone).

8. 8

   Review your selections and the estimated fee

   Review what you have selected and see an estimate of the consultation fee. (Steps 1–8 take about 2 minutes in total.)

9. 9

   Booking preparation (intake form, consent, registration, scheduling)

   On the "Booking & Visit Preparation" page, complete the intake form, sign the consents, register as a patient, and schedule your visit — in order, top to bottom. (Estimated time: about 10–15 minutes.)

After You Book — What Comes Next

1. 10

   The consultation itself

   At your scheduled time, your physician meets with you by chat, video, or phone.

2. 11

   Patient portal (Elation Patient Passport)

   All visit-related notifications, records, prescription details, and post-visit messages flow through the HIPAA-aligned Elation Patient Passport. From the invitation email you register an account, then review visit details and exchange secure messages with your physician. Do not send medical content over regular email or SMS.

3. 12

   Prescription (if needed)

   If your physician determines a prescription is appropriate, an electronic prescription is sent directly to your chosen pharmacy. Prescriptions are not automatic; the physician reviews your case and decides.

4. 13

   In-person referral if needed

   If your concern cannot be safely managed online, we will guide you to in-person care, additional testing, or a specialist as appropriate.