Online visit
Athlete's foot
Itchy, peeling or cracked skin between your toes? Upload photos and a Texas clinician reviews it and plans treatment.
Thick, yellow or crumbly toenails? Upload photos and a Texas clinician reviews your options, including labs if pills are considered.
Yes, for adults 18 and older in Texas. Thick, yellow or crumbly toenails? Upload photos and a Texas clinician reviews your options, including labs if pills are considered. 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 $59, or use insurance. Labs, if needed, can be drawn at a Passion Health clinic or at any CPL patient service center in Texas. A prescription goes to the pharmacy you choose only if it's appropriate; controlled medicines are never prescribed online. If you have diabetes and there's an open sore, ulcer or wound on your foot, 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.
Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026
Toenail fungus (onychomycosis) is a slow-growing fungal infection that makes nails thick, discolored, brittle or crumbly, and can lift the nail from its bed. It often starts with athlete's foot. It is more common with age, diabetes, poor circulation, sweaty feet and nail injuries. Psoriasis and injury can cause nail changes that look similar.
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.
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.
Upload prior results or home readings if you have them.
If labs would help, the order goes to a Passion Health clinic, or to any CPL patient service center in Texas.
Your clinician reviews them and contacts you with your plan.
Check-ins timed to your condition; 14 days of messaging, extended while ordered labs are pending.
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.
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.
A 48-hour check-in message and 14 days of secure messaging. If you're not improving, we book a same-day clinic visit, or, if you're not near one of our clinics, tell you where to be seen near you.
The flat cash rate is $59 for a quick evaluation, or use your insurance and pay your plan's cost-share — we show you an estimate before review starts. Labs and imaging are billed separately. 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.
A Texas-licensed Passion Health clinician reviews every intake and decides your plan — not software. For toenail fungus, 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.
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.
If your clinician orders labs, you can have them drawn at a Passion Health clinic in Dallas–Fort Worth, or at any CPL patient service center in Texas. With insurance, the lab bills your plan directly. Self-pay tests that are in the Passion Health Blood Work catalog are billed at Blood Work prices; tests that aren't are billed by the lab (CPL) at its self-pay prices, and we give you an estimate before you go. Your clinician reviews your results and contacts you.
Longer than most people expect. Oral treatment usually lasts about 3 months, and nail solutions are applied daily for up to a year. Because toenails grow slowly, it can take 12 to 18 months for a clear nail to grow out fully, even when treatment is working. Toenail fungus can come back, so keeping feet dry and treating athlete's foot helps.
Oral antifungal medicines can, rarely, affect the liver, so your clinician may check liver blood tests before you start and ask about alcohol and other medicines. A nail clipping test can also confirm the problem is really fungus. Psoriasis, injury and other conditions can look the same and won't improve with antifungal treatment.
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)).
Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician
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.
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.