DFW Care · Same-Day Access
Same-day primary care in Fort Worth and DFW
"Next available is three weeks out" is the reason most people give up on primary care. Membership is built the other way round: today, by phone or video, and in person in the Fort Worth area when it needs to be.
24/7/365 virtual access · Same provider each time · No copay for included virtual care
The short answer
Same-day care in the Fort Worth area usually starts virtually, by phone or video, and moves to an in-person visit at the $99 member rate when something needs to be examined. Red flags — chest pain, trouble breathing, stroke symptoms, severe bleeding, thoughts of self-harm — go to 911. Nothing about antibiotics, tests or notes is decided before the visit.
- Who it is for
- People in the Dallas–Fort Worth area, aged 13+, who need to be seen today for a new everyday problem.
- When it may not fit
- Emergency symptoms, and anything needing imaging, stitches or hands-on urgent assessment.
- What it costs
- $39 by phone, $49 by video, $99 in person for members, $149 in person without a membership.
- What to do next
- Call — same-day availability changes through the day and is confirmed on the phone.
In an emergency call 911 or go to the nearest emergency department.
Prices and material terms
- Quick Online Care$19.99Online review of an eligible straightforward concern, without a scheduled live appointment.
- Phone visit$39A conversation with a licensed provider when nothing needs to be seen.
- Virtual Video Visit$49A face-to-face virtual visit for one concern.
- Extended Visit$69For 2–3 concerns or a more involved visit.
- In-person visit, without membership$149One-time in-person visit in the Fort Worth area.
Published prices, payable by card, HSA or FSA. Presence-led visits are for ages 13 and older, with the patient located in Texas or Illinois for provider-led services. Membership is not insurance and does not cover hospital, surgical, specialist or emergency care.
The short answer
- Who this is for
- Anyone in DFW who needs a provider today and cannot wait weeks for an appointment slot.
- What same-day means here
- Unlimited virtual visits any hour, plus in-person primary care in the Fort Worth area — availability for hands-on visits depends on the schedule that day.
- Why it is possible
- A membership practice keeps a deliberately smaller panel, so access is not rationed by insurance-driven visit volume.
- What it costs
- From $19.99/month. No copay for included virtual care; local in-office visits are $129 each on the $19.99 plan, or two included a year then $99 each on the $29.99 plan.
- Next step
- Call now for care today, or join to make this your normal.
This page sits under dfw care — start there if you want the full picture first.
Your practice is booked for weeks — what now?
- Get care now
You need the problem dealt with today
A same-day virtual visit from $19.99 handles a great deal of everyday illness, and tells you plainly when it needs examining.
- Start a refill evaluation
You are only waiting on a routine medication refill
A refill evaluation can start now, without waiting for the appointment.
- Membership primary care
This keeps happening and you want a provider who has time
Membership primary care with longer visits and direct access, rather than a three-week queue.
- When to be seen urgently
You are unsure whether it can wait at all
Read the red-flag guidance first. Anything severe or frightening belongs in an emergency department, not an appointment queue.
When your own practice is booked out for weeks
This is the most common reason people find this page. You are not looking to change providers; you need something dealt with before the appointment you already hold.
Same-day here means a virtual visit today for something that can be assessed remotely — not an emergency service, and not a promise of a specific appointment time. If what you have needs hands-on assessment, we will say so rather than take your money.
Keep your current provider
A one-time virtual visit does not require you to leave anyone. Bring the outcome back to your own provider at the appointment you already have.
Bridge the gap
A short-term refill, an acute illness, a note, or a lab order that means the wait no longer costs you anything.
If nobody is taking new patients
That is what membership primary care solves properly — a provider who is actually reachable when something comes up.
If your symptoms are severe or worsening, do not wait for any appointment. Call 911 or go to the nearest emergency department.
Why traditional primary care cannot see you today
A conventional primary care panel can run into thousands of patients per provider because the economics require volume. The result is predictable: the schedule fills weeks out, same-day slots are held back and consumed by 8:30am, and the practical answer to "I need to be seen today" becomes urgent care.
Presence is structured differently. Membership revenue replaces per-visit billing, the panel is deliberately smaller, and unlimited virtual visits absorb everything that does not require hands-on examination. That is what makes today an actual answer rather than an aspiration.
Virtual, any hour
24/7/365 phone or video visits with a licensed provider. No appointment required for included virtual care.
In person in the Fort Worth area
When something needs to be examined, touched or measured, you are seen locally rather than sent to a stranger.
The same provider, not whoever is free
Continuity is the reason a same-day visit is short and useful: your history is already known.
What a same-day visit looks like
You call or start a video visit
Morning, midnight or Sunday. There is no phone tree standing between you and a provider for included virtual care.
The provider decides what today needs
Many problems are resolved in that visit. Some need labs. Some need to be seen in person, and you are told which straight away.
Labs or imaging, if needed, at member pricing
Quoted through participating partners before anything is ordered, so there is no surprise bill behind the same-day convenience.
Follow-up is part of the membership
A recheck tomorrow or next week costs nothing extra for included virtual care.
Same-day in-person availability depends on the practice schedule that day. Virtual access is 24/7/365.
Same-day, but not an emergency service
Right for today
- New illness, infection or worsening symptoms
- A medication problem or a refill that cannot wait
- A lab result you need explained now
- A child sick overnight on the family plans
- A blood-pressure or blood-sugar reading that worries you
Not right for today
- Chest pain, stroke symptoms or severe breathing difficulty — call 911
- Trauma, deep wounds or suspected fractures
- Anything needing same-hour imaging or a procedure
- Care for children under 13 at the local in-person practice
Memberships with same-day access built in
Virtual Family Care
$19.99/month
Unlimited 24/7 virtual care for your entire household — care when you need it, from the comfort of home.
- Unlimited 24/7/365 virtual visits by phone or video for your household
- Pediatric virtual care included for children under 13
- Skip the traffic, the waiting room and the missed workday
- Local in-office visits $129 per visit for members ages 13+
- Member pricing on labs, imaging and medications
- No insurance required · No copays for virtual visits
$19.99/month · Billed monthly · 12-month commitment · Covers your household · $129 per local in-office visit · One-time $49 onboarding before a first in-person visit
See Membership Details
- Unlimited virtual visits, 24/7/365, by phone or video with a licensed provider — no copay for virtual care and no per-visit fee.
- Skip the traffic. Skip the waiting room. Skip missing work. And skip paying urgent care or ER prices for something that may be handled virtually.
- Pediatric virtual care is included for children under 13. Local in-office Presence care is for ages 13+; when a younger child needs hands-on care, families can access participating pediatric partners.
- When virtual care isn't enough, members can be seen in person at the Presence practice in North Richland Hills. Local in-office visits on this plan are $129 per visit and are not included in the monthly membership.
- Member pricing on labs, imaging and medications through participating partners. Savings vary by service and facility.
- Membership requires a 12-month commitment, billed monthly, and continues month to month afterward.
- Membership is not health insurance. See Membership & Care Information in the footer for full disclosures.
12-month membership commitment · Billed monthly. Local in-office visits are billed at $129 per visit and are not included in the monthly fee. Local Presence primary care is for ages 13+. A one-time $49 clinical onboarding & medical history review is completed before your first in-person visit.
MOST POPULAR · BEST VALUE
Virtual + Local In-Office Care
$29.99/month
Unlimited 24/7 virtual care for your household, with two local in-office visits included every year.
- Unlimited 24/7/365 virtual visits for everyone at home
- 2 local in-office visits included annually; additional visits $99 each
- Pediatric virtual care included for children under 13
- No copays for virtual visits · No insurance required
- Member pricing on labs, imaging and medications
$29.99/month · Billed monthly · 12-month commitment · Covers your household · 2 local in-office visits included annually, then $99 each · One-time $49 onboarding per person before a first in-person visit
See Membership Details
- Unlimited 24/7/365 virtual visits for everyone in the household, including pediatric virtual care for children under 13.
- Because kids get sick at night. Work runs late. Traffic is brutal. Whether it's 2:00 in the afternoon or 2:00 in the morning, your family still has access to care.
- Two local in-office visits are included each membership year for household members ages 13+. Additional in-office visits are $99 each.
- Children under 13 receive virtual care and referral to participating pediatric partners when hands-on care is needed.
- Member pricing on labs, imaging and medications through participating partners. Savings vary by service and facility.
- 12-month commitment, billed monthly. Membership is not health insurance.
12-month membership commitment · Billed monthly. Includes 2 local in-office visits per membership year for household members ages 13+; additional in-office visits are $99 each. Local Presence primary care is for ages 13+.
Individual Unlimited
Ages 19–44$79/month
Ages 45–64$89/month
Ages 65+$109/month
Make Presence your primary care home, with age-based pricing and local visits that aren't counted.
- Unlimited 24/7/365 virtual visits by phone or video
- Unlimited medically appropriate local primary care visits
- No per-visit charge for covered local primary care
- Same local provider for continuity of care
- Member pricing on labs, imaging and medications
$79/month ages 19–44 · $89/month ages 45–64 · $109/month ages 65+ · Billed monthly · 12-month commitment · One-time $49 onboarding before your first in-person visit
See Membership Details
- Unlimited virtual visits, 24/7/365, plus unlimited medically appropriate local primary care visits with no per-visit charge.
- Wellness and annual visits, sick visits, follow-ups, referrals and authorizations are included when medically appropriate.
- You see the same local provider each time, so your history, medications and goals carry forward between visits.
- A one-time $49 clinical onboarding and medical history review is completed before your first in-person visit.
- Local primary care is for ages 13+, scheduled at the Presence practice in North Richland Hills. Appointment availability varies.
- Age-based monthly pricing: $79 ages 19–44, $89 ages 45–64 and $109 ages 65+. 12-month commitment, billed monthly. Membership is not health insurance.
12-month membership commitment · Billed monthly. Ages 13+ for local primary care. One-time $49 clinical onboarding & medical history review before your first in-person visit.
COMPLETE FAMILY CARE
Family Unlimited
$219/month
Complete household care with unlimited local primary care visits.
- Unlimited 24/7/365 virtual visits for the household
- Unlimited medically appropriate local primary care visits (ages 13+)
- No per-visit charge for covered local primary care
- Family of up to 5 · each additional child after 5 is $29/month
- Member pricing on labs, imaging and medications
$219/month · Billed monthly · 12-month commitment · Family of up to 5 · Each additional child after 5 is $29/month
See Membership Details
- Unlimited 24/7/365 virtual visits for the household, plus unlimited medically appropriate local primary care visits for members 13+ with no per-visit charge.
- Covers a family of up to five. Each additional child after five can be added for $29/month.
- Children under 13 receive pediatric virtual care and access to participating pediatric partners when hands-on care is needed.
- A one-time $49 clinical onboarding and medical history review is completed before each member's first in-person visit.
- The same local provider follows your household's history, medications and preventive care over time.
- 12-month commitment, billed monthly. Membership is not health insurance.
12-month membership commitment · Billed monthly. Children under 13 receive pediatric virtual care and access to participating pediatric partners when hands-on care is needed.
Full terms, applicable in-office visit prices and the one-time $49 onboarding fee are on the pricing page. Presence is a healthcare membership, not insurance.
Questions people ask
Can I really be seen the same day?
Virtual visits are available 24/7/365 with no appointment for included care. Same-day in-person visits depend on the practice schedule that day, and we will tell you honestly what is available.
Do I have to be a member?
Unlimited 24/7 virtual access is a membership benefit. If you need care right now, call and we will explain your options before you commit to anything.
Is a video visit as good as being seen?
For a large share of everyday problems, yes. For anything requiring examination, imaging or a procedure, it is not — and the provider will say so rather than treat blindly.
About this information
Written by the Presence care team for patients considering care with us. Presence care is delivered by licensed providers, including a board-certified Adult-Gerontology Primary Care Nurse Practitioner — not by a physician, and not by software. Meet your provider.
This page explains how our service works. It is general information, not a diagnosis, and it is not a substitute for an evaluation of your own situation. Whether testing, treatment or a prescription is appropriate is decided during a visit.
If this is an emergency — chest pain, trouble breathing, stroke symptoms, severe bleeding, or thoughts of harming yourself — call 911 or go to the nearest emergency department. See our emergency care notice.
Get seen today
Call now to reach a licensed provider, or become a member so same-day access is simply how your healthcare works.