Virtual Urgent Care on Your Time

How do I book an appointment?


  • Make an appointment by clicking the "Book Now" button below
  • Contact me via the "Care Circles by Pre-R" app for urgent  concerns. You can also see my availability in real time there (click on  "Is Dr. Tien Available Right Now?" to check out the Care Circles app and  download)

The Nitty Gritty


  • I am currently only able to provide telehealth services for patients physically located in Massachusetts.
  • I cannot provide personal medical advice outside of a one-on-one tele-health appointment due to federal healthcare privacy laws.
  • General health information/advice provided outside of a one-on-one tele-health appointment with me does not constitute that of a patient-physician relationship. 
  • This service is not intended to replace the relationship with your primary care provider. It is simply another way to access a  physician for advice when you cannot access your physician/healthcare provider or you do not have a physician/healthcare provider.
  • I do not provide medication refill prescriptions or prescriptions for controlled substances. These types of services are best performed in person with a physician or other health care provider. 
  • Get the Care Circles by Pre-R app to see if Dr. Tien is available right now.



  • I currently do not take insurance for this on-line service, but your expenses can be applied to your deductible. You may wish to check with your insurance provider and submit a request for reimbursement if they cover telehealth services or direct your payment toward your health insurance deductible.
  • My flat rate is $100/telehealth visit. I will provide written follow up on lab or imaging results free of charge. If you would like a follow up virtual consultation appointment to review your results, I charge $50.
  • Costs related to lab testing or imaging that is ordered through this service are the responsibility of the patient. Please check with your insurance provider for details on what is covered.
  • FREE VISIT      
    • Go to my Facebook page by clicking the button below, like my  page and your first telemedicine visit with me is FREE!  You might  just fall in love with telemedicine!