Toad and Hen watch as costumed ticks approach the door

Tick bite? Treat it today.

One and Done.

One quick online visit. One single dose of medicine. That's all it takes to protect your family from Lyme disease — adults and kids. No ER, no waiting. Just fast, expert care from tick country's own.

Start Your Visit — $65

Medication typically under $10 at your pharmacy.

A single dose of doxycycline within 72 hours of a tick bite reduces Lyme risk by up to 87%. After that window closes, treatment means weeks of antibiotics instead of one dose.

Why One Dose Matters

The easy path has an expiration date

After a deer tick bite, the Lyme bacteria need time to travel from the tick into your body. A single dose of doxycycline within 72 hours kills them before they can establish an infection — preventing the disease before it starts. Wait too long, and prevention becomes treatment.

If you wait

Miss the window

Anxious watching for symptoms over 30 days
Bullseye rash may develop days or weeks later
14–28 days of antibiotics, multiple doses daily
Side effects all summer — stomach upset, sun sensitivity
Getting a child to take 42–84 doses of medicine
Multiple doctor visits, blood tests, follow-ups
ER visit: $500–$1,500+
One and Done

Act within 72 hours

One online visit from anywhere — trail, cabin, kitchen
Doctor reviews your case — most within a few hours
One single dose of doxycycline — that's it
Weight-based dosing safe for children of all ages
Prescription at your local pharmacy, same day
30-day follow-up to make sure all is well
Total cost: $65 visit + ~$7 medication
Costumed ticks lurk in the grass while children play
They're out there. Tickortreat helps you act before they do.
How It Works

Four steps. One dose. Done.

1

Tell us what happened

Quick form — when the bite happened, where on the body, and a photo if you have one.

2

A doctor reviews

A licensed physician reviews your case, usually within an hour. No video call needed.

3

One dose prescribed

Doxycycline sent to your local pharmacy. Weight-based dosing for children of all ages.

4

Done — we follow up

One dose taken. We check in over 30 days to make sure everyone's well.


Meet Your Guides

Toad and Hen

Toad and Hen stand guard

Toad

The Doctor

Calm, no-nonsense, always ready. Toad handles the treatment — he reviews your case, writes the prescription, and follows up to make sure you're well. One dose is all he needs. He's seen a thousand ticks and none of them scare him.

Hen

The Protector

A fluffy silkie with a big heart and an even bigger brood. Hen adopts everyone — her mismatched army of chicks follows her everywhere as she patrols the yard, teaches tick checks, and shows families how to stay safe. She's the mother who gathers all the kids under her wings.

Costumed ticks follow children near a Vermont barn in autumn
Illustration by Louisa Conrad

Want to test the tick, too?

Add a lab test to find out if the tick was carrying Lyme or other diseases.

Tick Testing Add-On

Want to know what your tick was carrying? We're partnering with a leading New England lab to offer DNA testing for 7+ pathogens within 3 business days. Mail in the tick, get results by email. Details and pricing coming soon.

🔬coming soon

Pricing

No insurance needed. No surprises.

Tick Bite Visit

One and Done.
$65
Doxycycline typically under $10 at pharmacy
Start Your Visit
Hen's Guide to Tick Country

Live safely where ticks do

Hen and her chicks teach your family about prevention.

Hen the silkie with her mismatched brood of chicks on the farm
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Backyard Chickens

How a small flock can dramatically reduce ticks on your land

Guinea fowl and chickens are voracious tick eaters. A small flock of free-ranging birds can reduce tick populations on your property by up to 80%. They patrol grass, leaf litter, and garden beds — exactly where ticks wait for hosts. Even 4-6 hens given access to your yard during tick season can make a meaningful difference. The birds are most effective in maintained areas close to the house, which is also where children and pets spend the most time.

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The Tick Check

A step-by-step guide for checking kids after every adventure

Make tick checks a daily routine during tick season (April through November in New England). Check these spots carefully: behind the ears, along the hairline, scalp, armpits, belly button, waistband, behind the knees, and between the toes. Use your fingers — ticks feel like a small bump. For young children, make it part of bath time. If you find an attached tick, remove it with fine-tipped tweezers by grasping as close to the skin as possible and pulling straight up with steady pressure. Don't twist. Save the tick in a ziplock bag — you can photograph it for identification or send it for testing. Then start your Tickortreat visit.

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Your Yard

Simple changes that make your yard less inviting to ticks

Ticks thrive in shady, moist areas with leaf litter and tall grass. To reduce tick habitat around your home: keep grass mowed short, clear leaf litter and brush piles, create a 3-foot gravel or wood chip border between your lawn and wooded areas, stack firewood in dry sunny spots, remove old furniture or trash where mice nest, and keep play structures and patios away from the tree line and in sunny areas. Consider treating the perimeter of your yard with a targeted tick control product in spring. These simple landscaping changes create a drier, sunnier environment that ticks avoid.


The Evidence

Proven science. Trusted guidelines.

Single-dose doxycycline prophylaxis isn't new or experimental. It's backed by landmark clinical research and recommended by the leading medical societies in the United States and internationally.

The Nadelman Study — New England Journal of Medicine, 2001

A randomized, double-blind, placebo-controlled trial of 482 subjects in a Lyme-endemic area of New York. Found that a single 200mg dose of doxycycline given within 72 hours of a deer tick bite was 87% effective at preventing Lyme disease. This is the foundational study behind current guidelines.

The Netherlands Trial — Journal of Infection, 2021

An open-label randomized controlled trial of 1,689 participants in the Netherlands, testing single-dose doxycycline after European tick bites. Found a 67% risk reduction — consistent with the US findings. Notably, participants reported tick bites through a national online platform, validating the digital-first approach that Tickortreat uses.

IDSA / AAN / ACR Guidelines, 2020

The Infectious Diseases Society of America, American Academy of Neurology, and American College of Rheumatology jointly issued a strong recommendation for single-dose doxycycline within 72 hours of a high-risk tick bite — for all age groups, including children. This is the current standard of care.

American Academy of Pediatrics — Red Book, 2024

The AAP supports the use of doxycycline for tick bite prophylaxis and short-course treatment in children of all ages, including those under 8. Earlier concerns about tooth staining have been found to be low-risk for short courses.

Tickortreat follows the IDSA/AAP/CDC standard of care for tick bite prophylaxis.

Questions

What is the 72-hour window?

A single dose of doxycycline taken within 72 hours of a deer tick bite can reduce Lyme risk by up to 87%. After that window, prophylaxis is no longer recommended — and if Lyme develops, treatment requires weeks of antibiotics.

Is one dose really enough?

For prevention, yes. When a deer tick bites, the Lyme bacteria (Borrelia burgdorferi) take time to travel from the tick's gut to your bloodstream — typically 24 to 48 hours. A single dose of doxycycline, taken within 72 hours of the bite, kills the bacteria before the infection can establish itself. Think of it as shutting the door before anything gets through. This approach was proven in a landmark 2001 New England Journal of Medicine study showing 87% risk reduction, and it's the standard of care recommended by the Infectious Diseases Society of America, the American Academy of Neurology, and the American College of Rheumatology.

What is doxycycline?

Doxycycline is a widely used, well-studied antibiotic that has been prescribed for decades. It's effective against a broad range of bacteria, including the one that causes Lyme disease. Side effects from a single dose are minimal — occasional mild nausea in a small percentage of patients. It's available as a generic at virtually every pharmacy in the country, typically for under $10. The American Academy of Pediatrics confirms it is safe for children of all ages for short courses.

Is this safe for children?

Yes. The American Academy of Pediatrics supports doxycycline for tick bite prophylaxis in children of all ages. Our clinicians use weight-based dosing to ensure the right amount for your child. Doxycycline is available at most pharmacies as tablets or capsules. For young children who can't swallow pills, your pharmacist can help with administration options.

Do you accept insurance?

Tickortreat is $65 flat — no insurance needed. We provide a superbill with proper codes for potential reimbursement. Doxycycline is a cheap generic, typically under $10 at any pharmacy.

Do I need to identify the tick?

It helps but isn't required. Upload a photo if you can — our doctors can often identify the species. Even without an ID, prophylaxis may be appropriate based on your location and attachment time.

What states do you serve?

Vermont, New Hampshire, Maine, Massachusetts, New York, and Connecticut. We're expanding to additional states soon.

I'm visiting from out of state. Can you treat me?

Yes — if you're currently in one of our six states, we can treat you regardless of where you live. Vacationing in Vermont from Texas? Got a tick bite on Martha's Vineyard but you live in California? We can help. Just select the state you're in right now when you start your visit.

Can I use my HSA or FSA?

Tickortreat is a medical service provided by licensed physicians, which generally qualifies for HSA and FSA spending. Confirm with your plan administrator.