You can always press Enter⏎ to continue
RTHM New Patient Application

RTHM New Patient Application

Thank you for your interest in RTHM. Please complete these questions to determine your eligibility for our services and to schedule an interview.

HIPAA

Compliance

  • 1
    Press
    Enter
  • 2
    Press
    Enter
  • 3
    RTHM can currently only serve patients in the United States
    Press
    Enter
  • 4
    Press
    Enter
  • 5
    • Alabama
    • Alaska
    • Arizona
    • Arkansas
    • California
    • Connecticut
    • Delaware
    • Florida
    • Georgia
    • Hawaii
    • Idaho
    • Illinois
    • Indiana
    • Iowa
    • Kansas
    • Kentucky
    • Louisiana
    • Maine
    • Maryland
    • Michigan
    • Minnesota
    • Mississippi
    • Missouri
    • Montana
    • Nebraska
    • Nevada
    • New Hampshire
    • New Jersey
    • New Mexico
    • New York
    • North Carolina
    • North Dakota
    • Ohio
    • Oklahoma
    • Oregon
    • Pennsylvania
    • Rhode Island
    • South Carolina
    • South Dakota
    • Tennessee
    • Texas
    • Utah
    • Vermont
    • Virginia
    • Washington
    • Washington D.C.
    • West Virginia
    • Wisconsin
    • Wyoming
    Press
    Enter
  • 6
    • Afghanistan
    • Akrotiri
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antarctica
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Ashmore and Cartier Islands
    • Australia
    • Austria
    • Azerbaijan
    • Bahamas, The
    • Bahrain
    • Bangladesh
    • Barbados
    • Bassas da India
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Bouvet Island
    • Brazil
    • British Indian Ocean Territory
    • British Virgin Islands
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burma
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Clipperton Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo, Democratic Republic of the
    • Congo, Republic of the
    • Cook Islands
    • Coral Sea Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Cyprus
    • Czech Republic
    • Denmark
    • Dhekelia
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Europa Island
    • Falkland Islands (Islas Malvinas)
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Guiana
    • French Polynesia
    • French Southern and Antarctic Lands
    • Gabon
    • Gambia, The
    • Gaza Strip
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Glorioso Islands
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Heard Island and McDonald Islands
    • Holy See (Vatican City)
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Isle of Man
    • Israel
    • Italy
    • Jamaica
    • Jan Mayen
    • Japan
    • Jersey
    • Jordan
    • Juan de Nova Island
    • Kazakhstan
    • Kenya
    • Kiribati
    • Korea, North
    • Korea, South
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia, Federated States of
    • Moldova
    • Monaco
    • Mongolia
    • Montserrat
    • Morocco
    • Mozambique
    • Namibia
    • Nauru
    • Navassa Island
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Northern Mariana Islands
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Panama
    • Papua New Guinea
    • Paracel Islands
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Reunion
    • Romania
    • Russia
    • Rwanda
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia and Montenegro
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • South Africa
    • South Georgia and the South Sandwich Islands
    • Spain
    • Spratly Islands
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • Swaziland
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Trinidad and Tobago
    • Tromelin Island
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Venezuela
    • Vietnam
    • Virgin Islands
    • Wake Island
    • Wallis and Futuna
    • West Bank
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    Press
    Enter
  • 7
    Press
    Enter
  • 8
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    Press
    Enter
  • 11
    Press
    Enter
  • 12
    We found that Kaiser, Medicare, Medicaid/MediCal, VA/Tricare and several HMO insurance plans either require an in-network provider to order all the labs we request (and most of those providers either cannot or will not order everything we need), or the insurer ends up not paying for many of the labs we order and the patient gets a big surprise bill - which is awful! Thus we are not accepting patients with those insurance plans until we can figure out a better work around.
    Press
    Enter
  • 13
    Press
    Enter
  • 14
    Press
    Enter
  • 15
    Press
    Enter
  • 16
    Press
    Enter
  • 17
    For several of the conditions we treat, there are no FDA-approved treatments for them (everything is used off-label), so insurance often doesn't cover them despite submitting prior authorizations. Some lab testing is also not covered by insurance. We have worked with 3rd parties to get discounts for our patients on testing and treatments where we can, but we cannot control the prices other companies charge for their testing and treatments. One of RTHM's goals is to carefully collect data on what testing and treatments are highest yield for improving patients' health to ultimately try and get insurance coverage for them - hence our strong emphasis on data!
    Press
    Enter
  • 18
    If Yes, we will search for your name in this waitlist to keep your place in line.
    Press
    Enter
  • 19
    -
    Pick a Date
    Press
    Enter
  • 20
    Press
    Enter
  • 21
    Press
    Enter
  • 22
    Press
    Enter
  • 23
    Press
    Enter
  • 24
    Press
    Enter
  • 25
    Press
    Enter
  • 26
    Press
    Enter
  • 27
    Press
    Enter
  • 28
    Press
    Enter
  • 29
    Due to the complexity of RTHM lab tests, we only order through Quest Diagnostics or through certain mobile phlebotomy companies. We cannot order labs through different medical facilities.
    Press
    Enter
  • 30
    Press
    Enter
  • 31
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 32
    Press
    Enter
  • Should be Empty:
Question Label
1 of 32See AllGo Back
close