Google "Physician Triage Services". The one I use is operated by an MD friend out of Seattle, and as such has some greater leeway in prescribing, etc., plus I have known him for a long time and trust him totally. We previously used a nurse triage service that was quite good, but he is better. But google shows a lot of action and someone may be closer to you. We turn the phones over at 5:00 and weekends, and the patient gets a message that they can either leave a message for the next day or call an 800 number to discuss with a physician. There is a charge to the patient for that (Visa), sometimes waived. I'll PM you his e-mail address, and feel free to contact him. It is not a secret, just don't want to look like I'm advertising for him on this board.