Get Matched with a Verified Specialist

Tell us about yourself and symptoms so an actual specialist can review today and get you in their office tomorrow.

Your Progress

First Name

Last Name

Gender

Date of Birth

Phone Number

Email Address

Zip Code

Height (feet/inches)

Weight (lbs)

Insurance

Are you seeking a second opinion?

How far are you willing to travel?

What type of doctor do you need to see?

Have you ever seen an allergist?

Have you ever been diagnosed with environmental allergies or Chronic Sinusitis?

Do you suffer from any of the following symptoms for greater than 2 weeks at a time (symptoms can be present seasonally or all year long)? Mark all that apply.

Nasal Congestion

Clear runny nose or post nasal drip

Sneezing

Nasal, throat/palate, ear itching

Itchy, watery, red eyes

Do you suffer from asthma (diagnosed) or ongoing coughing, wheezing, shortness of breath, chest tightness?

Have you ever been diagnosed with food allergies, or suspect you have a food allergy?

Do you have a history of atopic dermatitis (eczema) requiring topical steroids?

Have you experienced hives and/or swelling of eyelids, lips, tongue or the throat area on an ongoing basis?

Are you allergic or suspect you are allergic to insect stings (bees, wasps, hornets, yellowjackets) or fire ant bites?

Have you been told you need to see a cardiologist?

Have you been told you need an angiogram (heart catheterization)?

Do you need urgent cardiac clearance for an upcoming surgery?

Have you ever been diagnosed with any of the following?

Heart failure

Heart valve disease

Have you ever had an abnormal stress test?

Have you ever had heart surgery or stents placed in your heart?

Do you ever experience chest pain or shortness of breath with exertion?

Do you need a routine skin check to evaluate for suspicious moles/lesions?

Do you currently have a rash?

Do you need a mole or other skin lesion removed?

Are you seeking a cosmetic procedure?

Botox

Filler

Laser

Acne treatment

None

Have you been told you need to see an ear, nose, and throat doctor?

Do you have any hearing loss or changes in your hearing?

Do you have ringing in your ears?

Have you had any recent sinus infections or sinus pain?

Are you having any difficulty swallowing?

Do you have a hoarse voice?

Is there a foreign object lodged in your ear, nose, or throat?

Have you had any recent facial trauma that now requires an evaluation or treatment?

Have you been told you need ear tubes or your tonsils removed?

Ear Tubes

Tonsils

Are you trying to make an appointment for a routine cleaning?

Do you have tooth pain?

Are your teeth hypersensitive to hot or cold temperatures?

Do you have a problem with a crown?

Have you had a root canal on this problem tooth in the past?

Have you been seen by a doctor for this problem?

Have you been told you need surgery?

Have you had imaging (ultrasound or CT scan) done?

Are you still having pain?

Do you have any of the following symptoms?

Nausea/Vomiting

Diarrhea

Constipation

Fever/Chills/Body aches

None

How long have you had symptoms/pain?

If you have a hernia, is it reducible? (can you push it back in?)

If you have an abscess, is it draining fluid?

What side is your pain on?

Does the pain radiate down your arm(s)?

Do you have any weakness in your arm?

Type of Pain

Numbness

Burning

Tingling

Aching

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need spine surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

What side is your pain on?

Does the pain radiate down your leg(s)?

Do you have any weakness in your legs?

How far can you walk without pain or weakness?

Type of Pain

Numbness

Burning

Tingling

Aching

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need spine surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

Are you pregnant?

Are you experiencing vaginal bleeding?

Do you have unusual vaginal discharge?

Are you experiencing lower abdominal or pelvic pain?

Have you had a recent pelvic ultrasound, CT scan, or MRI?

Do you have difficulty reading small print, or the smaller words on the bottom of the television screen?

Are you experiencing increased glare around lights while driving at night, or trouble seeing when driving in early morning or late afternoon sun?

Do you have a history of laser vision correction or any other refractive procedure? (I.e. LASIK, LASEK, PRK, RK, SMILE, CK)

Have you been told by an optometrist or ophthalmologist that you need cataract surgery?

Do you have a red or irritated eyelid?

Do you have double vision?

Do you have a droopy eyelid that you would like fixed?

Do you need a tooth removed?

Do you need a dental implant?

Do you need a dental bone graft?

Do you have ill-fitting/painful dentures?

Do you need your wisdom teeth removed?

Are you on blood thinners? (I.e. Plavix, Brilinta, Coumadin, Zarelto, Eliquis, Pradaxa)

What side is your pain on?

Does the pain radiate down your arm(s)?

Do you have any weakness in your arm?

Type of Pain

Numbness

Burning

Tingling

Aching

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need spine surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

Upload report (optional)

Image Type

MRI

X-ray

CT Scan

What side is your pain on?

Does the pain radiate down your leg(s)?

Do you have any weakness in your legs?

How far can you walk without pain or weakness?

Type of Pain

Numbness

Burning

Tingling

Aching

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need spine surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

What side is your shoulder pain on?

Is pain caused by an activity related injury or a chronic problem?

Do you have pain with movement of your shoulder?

Type of Pain

Sharp

Burning

Aching

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need shoulder surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

Upload report (optional)

Image Type

MRI

X-ray

CT Scan

What side is your elbow pain on?

Do you have pain or numbness in your hand?

Is pain caused by an activity related injury or a chronic problem?

Do you have pain with movement of your elbow?

Type of Pain

Sharp

Burning

Aching

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need elbow surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

What side is your wrist pain on?

Is pain caused by an activity related injury or a chronic problem?

Do you have pain with movement of your wrist?

Type of Pain

Sharp

Burning

Aching

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need wrist surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

What side is your hand pain on?

Do you suffer from a finger deformity?

Have you been told that you have carpal tunnel syndrome or have a “trigger finger”?

Is pain caused by an activity related injury or a chronic problem?

Do you have pain with movement of your hand(s)?

Type of Pain

Sharp

Burning

Aching

Numb

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need hand surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

What side is your pain on?

Is pain caused by an activity related injury or a chronic problem?

Do you have pain with movement of your hip?

Type of Pain

Sharp

Burning

Aching

None

Have you been told you have arthritis in your hip?

Have you been told you need hip surgery?

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you had an X-ray, MRI or similar images taken of the area in questions?

What side is your pain on?

Is pain caused by an activity related injury or a chronic problem?

Do you have pain with movement of your knee?

Type of Pain

Sharp

Burning

Aching

None

Have you been told you have arthritis in your knee?

Have you been told you need knee surgery?

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you had an X-ray, MRI or similar images taken of the area in questions?

What side is your ankle pain on?

Is pain caused by an activity related injury or a chronic problem?

Do you have pain with movement of your ankle?

Type of Pain

Sharp

Burning

Aching

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need ankle surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

What side is your pain on?

Where is the pain?

Is pain caused by an activity related injury or a chronic problem?

Do you have pain with movement of your foot/toes?

Type of Pain

Sharp

Burning

Aching

None

Have you tried medications for the pain?

Anti-Inflammatory (Like Ibuprofen, Naproxen, etc)

Muscle relaxers

Opioids

Nerve medication

Injections

None

Have you tried physical therapy/chiropractic treatment?

Have you been told you need foot surgery?

Have you had an X-ray, MRI or similar images taken of the area in questions?

What is your primary reason for seeking pain management? (Check all that apply.)

Chronic pain requiring pain medications.

You have been told you need a steroid injection.

You have been told you need another intervention – nerve burn, kyphoplasty, spinal cord stimulation, etc.

You would like to discuss PRP, stem-cells, or other regenerative medicine techniques.

What does your pain feel like? (Check all that apply.)

Sharp

Dull

Aching

Burning

Tingling

Numb

Stabbing

How long have you been experiencing this pain?

What treatments or medications have you tried in the past that have failed?

Opioid pain medications.

Anti-inflammatories (i.e., Advil, Aleve, Ibuprofen, Naproxen, Meloxicam, Celebrex, etc.).

Nerve medications (Gabapentin, Lyrica).

Injections

Ablation/Rhizotomy

Spinal cord stimulation

Have you had any surgeries or procedures related to your pain condition?

Are you currently on an opiate based medication (i.e. codeine, hydrocodone, oxycodone)?

Plastic surgeons do not typically accept commercial insurance. Are you willing to pay cash for the services you seek?

Do you have a skin cut/wound that urgently needs stitches?

Are you seeking an office-based cosmetic procedure?

Botox

Filler

Laser

None

Are you seeking an urgent consultation for cosmetic procedure?

Breast Augmentation

Facelift

Tummy-tuck

Liposuction

other

None

Are you seeing any new floaters (dots and/or strings) moving around in your field of vision?

Are you seeing a dark shadow or a curtain in your peripheral vision in one eye?

Are the lines on this grid wavy or straight?

Is your vision blurry?

Is your eye red?

Any history of eye trauma?

Have you been told you need to see a rheumatologist?

Have you had any episodes of joint pain or swelling that lasted for several weeks or months, even without significant physical activity?

Have you noticed any visible swelling, warmth, or redness in any of your joints?

Have you had any of the following unexplained symptoms? Check all that apply.

Recurrent rashes

Mouth ulcers

Sensitivity to sunlight

None

Have you been diagnosed with fibromyalgia?

Do you have generalized body pain/aches?

Are you ok with seeing a nurse practitioner for your first visit (visit will be supervised by a physician, and the initial follow up appointment will be with a physician)?

Have you been told to have laboratory abnormalities that may suggest an autoimmune disease?

Do you have leg pain?

Do you have swelling in your legs?

Do you have redness or other discoloration to your lower legs?

You're Almost There

Thanks for giving us more information on the help you're seeking. Before we can connect you to a Verified specialist, you just need to complete the checkout.

Don't worry – you won't be charged until we match you with a specialist.

What Happens Next

We've Got You Covered

Once you complete your checkout, our goal is to connect you to a Verified doctor in the DFW area within 24-48 hours.

You'll receive a confirmation email from us, and we'll start finding a doctor that meets your criteria.

You'll receive an email within 48 hours notifying when you've been matched.

The specialist you matched with will contact you to schedule your "Overbooked" appointment, meaning you get seen quickly!

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Includes connecting you to a Verified specialist and getting an appointment within 24-48 hours of being connected. Your card won't be charged until you're matched with a specialist.

The doctor that you are matched with does not receive any portion of this fee or any other remuneration from overbookMD. You will still be responsible for all fees associated with your doctor’s appointment. In addition, this payment is not reimbursable by your insurance company.

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