Reviewed the same day by Texas-licensed clinicians

Orthostatic hypotension care online in Texas

Lightheaded or dizzy when you stand up? A Texas clinician reviews your home blood pressure readings, medicines and next steps.

Insurance or a flat cash priceYour pharmacy, your choiceIn-person care if needed: our DFW clinics, or near you
Online evaluation
Same-day review24/7 weekdays · 7 AM–9 PM CT weekends
Short answer

Can I get online care for dizziness when standing in Texas?

Yes, for adults 18 and older in Texas. Lightheaded or dizzy when you stand up? A Texas clinician reviews your home blood pressure readings, medicines and next steps. Review is by a Texas-licensed Passion Health clinician, 24/7 on weekdays and 7 AM–9 PM CT on weekends. The flat price is $89, or use insurance. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you've passed out (lost consciousness) after standing up in the past few weeks, you need to be seen in person today instead (at our Dallas–Fort Worth clinics, or urgent care near you), and you don't pay the online fee. Already a Passion Health patient with insurance? We book you with your own clinician instead.

Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026

Price
$89 flat cash rate or insurance
Visit type
Online evaluation
Reviewed by
A Texas-licensed Passion Health physician, nurse practitioner or physician assistant
Turnaround
Same day · 24/7 weekdays, 7 AM–9 PM CT weekends
Insurance
BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana, Healthcare Highways
Prescriptions
Only if appropriate, sent to your pharmacy · never controlled medicines online
About the condition

What to know about dizziness when standing

Orthostatic hypotension is a drop in blood pressure when you stand up, causing dizziness, lightheadedness, blurred vision or weakness, usually within a few minutes. Dehydration, blood pressure and prostate medicines, long bed rest, diabetes, Parkinson's disease and heart conditions are common causes. It becomes more common with age and raises the risk of falls.

Before you start

Is online care right for you?

A good fit for online care

  • Dizziness or lightheadedness within a few minutes of standing
  • Symptoms after starting or changing a blood pressure, water or prostate medicine
  • You can take lying and standing blood pressure readings at home
  • Feeling worse in heat, after meals or when you haven't had enough fluids

Book an in-person visit instead if

  • You've passed out (lost consciousness) after standing up in the past few weeks Same day
  • You fell and hit your head or were hurt when you got dizzy Same day
  • Vomiting or diarrhea and you can't keep fluids down Same day
  • New shaking, stiffness or slow movements along with dizziness on standing Within days

Not near one of our clinics? Online Care is open to adults anywhere in Texas; our clinics are in Dallas–Fort Worth. If the safety questions or your clinician show you need to be examined, we tell you what kind of care you need and how soon — an emergency room, an urgent care center, or a clinician near you. If you've already paid, the full fee is refunded and you get a written summary of your visit to take with you.

Call 911 or go to the ER now if you have

Call 911

  • Chest pain or tightness when you exert yourself
  • Racing or pounding heartbeat with fainting, chest pain or shortness of breath
  • Leg swelling with shortness of breath
  • An arm or leg that is suddenly cold, pale and painful
  • Blood pressure 180/120 or higher with headache, chest pain, vision change or confusion

Emergency room now

  • Black or bloody stools, or vomiting blood
  • You hit your head and take a blood thinner, or have had a headache, vomiting or confusion since
  • Resting heart rate over 120, or under 45 with dizziness
  • One leg suddenly swollen, red, warm or painful

Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. If screening routes you before you pay, nothing is charged. If a clinician routes you after you've paid, the full fee is refunded.

Already a Passion Health patient?

If Passion Health is your primary care practice and you have insurance, book this with your own clinician — in person or by video, billed to your plan like any visit, with no online fee. Your clinician knows your history and can adjust your whole plan, not just this one problem. Online dizziness when standing care is for new patients, uninsured patients and patients outside Dallas–Fort Worth; established patients without insurance pay the $39 renewal rate.

How it works

How your dizziness when standing visit works

  1. 1
    Answer the dizziness when standing intake

    About 5 minutes, with photos if they help. Emergency and safety questions come first.

  2. 2
    A clinician reviews it the same day

    A Texas-licensed Passion Health clinician reads everything and calls or videos you if they need more.

  3. 3
    You get a plan

    If treatment is appropriate, a prescription goes to the pharmacy you choose.

  4. 4
    Follow-up is built in

    A 48-hour check-in and secure messaging. If you need to be seen, a same-day visit at our Dallas–Fort Worth clinics, or clear advice on where to go near you.

Your care

What to expect from your clinician

What your clinician may consider

  • A review of your home lying and standing blood pressure and pulse readings
  • A medicine review; doses of blood pressure, water, prostate or other medicines may be adjusted, if appropriate
  • Advice on fluids, rising slowly, compression stockings and, when safe for you, salt intake
  • Blood tests or an ECG in clinic to look for a cause, if needed
  • For some persistent cases, a medicine to raise blood pressure (such as midodrine or fludrocortisone), started only after a video or in-person visit, with follow-up lying-down readings and a potassium check

Shown so you know what to expect. The reviewing clinician decides what, if anything, is appropriate for you — a prescription is never guaranteed, and controlled medicines are never prescribed online.

Labs, tests and Passion Health services

  • If your clinician recommends remote monitoring, you can share home blood pressure readings with your care team through Passion Health's remote monitoring program.
Price & insurance

How much does an online dizziness when standing visit cost?

Standard evaluation
$89
  • Everything in Quick
  • Lab orders when needed (labs billed separately)
  • 30 days of secure messaging

Using insurance: we're in network with BCBS of Texas, Aetna, UnitedHealthcare, Cigna, Humana and Healthcare Highways, and we verify eligibility for every plan before review — you see your estimated cost-share first. New patients have a short video visit, because plans pay for a visit, not a form. Same-day review applies to self-pay visits; insurance visits begin once we've verified your plan, which is the next business morning if you submit overnight or on a weekend. Medicare, Medicaid, CHIP and TRICARE are billed to the program, and the cash rate isn't offered for covered services.

Full refund if your case isn't accepted: if the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card within 10 business days, and we help you get the care you need: a same-day visit at one of our Dallas–Fort Worth clinics or, if you're not near one, clear advice on where to be seen and a written summary of your visit. With insurance, no claim is submitted for the online review. Paying the flat price yourself? You can ask for a written Good Faith Estimate before your visit.

Labs and imaging, if needed, are billed separately, and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.

Follow-up

A 48-hour check-in, 30 days of secure messaging, and lab follow-up when labs were ordered.

After any medicine change, your clinician may ask for a week of lying and standing readings.

Questions

Questions about dizziness when standing care

How much does an online dizziness when standing visit cost?

The flat cash rate is $89 for a standard evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Medication is paid at your pharmacy. If the clinician doesn't accept your case for online care, for any reason, the full fee is refunded to your card.

Will I talk to someone, or is it just a form?

A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For dizziness when standing, Texas law lets the clinician evaluate you from a condition-specific intake plus your photos and records, and they'll call or video you whenever something needs a conversation. New patients using insurance have a short video visit, because plans pay for a visit, not a form.

Is a prescription guaranteed?

No. You're paying for a licensed clinician's evaluation and plan. Many visits end with a prescription; some end with a different plan, a test, or a referral. Controlled medicines — stimulants, benzodiazepines, opioids, testosterone, sleep aids like zolpidem — are never prescribed at an online visit.

I'm already a Passion Health patient. Can I use this?

If you have insurance, we'll book you with your own Passion Health clinician instead — in person or by video, billed to your plan like any visit, with no online fee. Your clinician knows your history and can adjust your whole plan. If you're an established patient without insurance, continuing a treatment we already prescribed uses the $39 follow-up rate; a new problem uses this page's price.

How do I check my blood pressure lying and standing at home?

Lie down quietly for 5 minutes, then measure your blood pressure and pulse. Stand up, keeping the cuff on, and measure again after 1 minute and after 3 minutes. Write down all three readings and any symptoms. Have someone with you and a chair nearby, and sit or lie down right away if you feel faint.

Is orthostatic hypotension the same as POTS?

No. In orthostatic hypotension, blood pressure drops when you stand: by 20 points or more in the top number, or 10 or more in the bottom number, within 3 minutes. In POTS, blood pressure usually stays steady but the heart rate jumps by 30 beats a minute or more. Both cause dizziness on standing, and your readings help tell them apart.

The Texas law behind this visit

A clinician may form a valid patient relationship online using store-and-forward technology — your condition-specific intake, photos and records — paired with a call or video when needed, as long as the in-person standard of care is met (Tex. Occ. Code §111.005(a)(3), §111.007). Your clinician gives you guidance on follow-up care and, with your consent, sends new patients' visit notes to their primary care physician within 72 hours (§111.005(b)).

Full Texas-law summary →

AC
Medical reviewer

Dr. Anantha Chentha, MD, FACP, CHCQM-PHY ADV

Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician

Reviewed October 22, 2026

Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.

Sources: NINDS · AHA/ACC · AAFP

Not sure online care is right for you?

Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.

☎ Call