How it works

Start on your couch.

Care begins with a same-day telehealth visit. If your child needs to be seen in person, we come to you.

1
Reach out
Call, text, book a time or send a note. Aubrey or a nurse reaches out, usually within 90 minutes during business hours, and right away if she isn't with a patient. You don't have to pick the kind of visit: we decide it with you.
2
Same-day telehealth
Your child is seen the same day, from home. We can send prescriptions to your pharmacy.
3
A visit at home
If your child needs to be seen in person after that visit, we come to your home. For many common medications, we can dispense right at the visit.

In their words · Aimee

Seen from home, the same day.

Aimee is a mom of two teenage boys who works 7 a.m. to 6 p.m. A quick video visit means the sick one gets seen, and everyone else's day keeps going.

“I had no clue medical care could be so convenient.”
Aimee Kuhn, mom of two teenage boys

Business hours: Monday to Friday, 7:00 am to 5:00 pm.
Members: A 90-minute response window for messages sent during business hours.
Where we come: In Idaho: Coeur d'Alene, Post Falls, Hayden, Rathdrum. In Washington: Spokane, Spokane Valley, Liberty Lake. Farther out, like Spirit Lake, Athol, Sandpoint, Kellogg or Cheney, we can see you by telehealth, or come to you for an extra travel fee.
Before a visit: Download the Spruce app. It's HIPAA compliant, so it's the best way to text or call us. Get the Spruce app
After hours: Text the practice line at 208-856-6312. If a provider is available, we will respond, but an after-hours reply is not guaranteed.
Emergencies: Porchlight is not an emergency service and cannot replace emergency care. Any life-threatening or severe symptom (difficulty breathing, uncontrolled bleeding, loss of consciousness, severe allergic reaction, suspected broken bone, any fever of 100.4°F or greater in an infant 8 weeks old or younger) should go straight to the emergency room.

Prescriptions: We prescribe and manage medications electronically to your preferred pharmacy, for acute and chronic conditions.
Lab work: We partner with Quest Diagnostics for lab draws and testing. Quest bills you or your insurance directly for the lab itself.
X-rays: We order them and send you to an imaging facility, where a radiologist reads the results.
School and work notes: School notes and accommodations documentation are part of our services.
Referrals: We coordinate referrals to specialists, and for services we don't provide directly.
Parents: If you have the same illness as your child, you may be evaluated and treated in the same visit, at the provider's discretion. See the add-on

Care That Comes Home

Not for emergencies. For any life-threatening or severe symptom, go straight to the emergency room. When to go to the ER