How it works
How Third Shift works
This page says what exists now, what opens at launch, and the rules the whole thing is built under. No fog: the two lists are different on purpose.
Today
What exists right now
- 1
Read the guides. Free, cited, open to everyone, no signup.
- 2
Join the waitlist. Free. It stores your email and two optional answers, nothing else.
- 3
That's the whole product today. No intake, no prescriptions, no checkout, no care delivered.
At launch
What the programs will look like
- 1
Complete an online intake whenever you're awake. 4am counts; that's the point.
- 2
A licensed clinician reviews your case and makes the call. The answer can be no.
- 3
If a plan fits, it starts with the circadian protocol: schedule and light first, prescriptions only where they belong.
- 4
Follow-ups run by message, on your clock, with dose and plan reviews scheduled around your rotation.
Design goal, coming at launch
Intake at 4am. An answer by morning.
That is the operating bar this company is being built to. It is not a live service today: nothing on this site takes an intake, and it only becomes a promise once overnight clinical coverage is proven. We will publish that proof before we sell anything against it.
The rules we build under
Boring on purpose
Controlled substances are a hard line
Some shift work disorder medications are federally controlled. Whether telehealth can prescribe them at launch depends on federal telemedicine rules at that time, and if an in-person exam is required, that will be said before any payment.
No auto-approval, ever
No protocol-driven rubber stamps, and no clinician pay tied to prescription volume. Those two design choices are how telehealth goes wrong, so they're excluded by design here.
Licensed where you live
At launch, care comes from clinicians licensed in your state, or it doesn't come at all. Availability will be listed state by state, honestly.
Not for emergencies
Async care is for problems that can wait until morning. Chest pain, breathing trouble, or thoughts of self-harm cannot: call 911, or call or text 988 for a mental health crisis.
The clinical spine
Built on published practice parameters
The circadian protocol at the center of every plan comes from the American Academy of Sleep Medicine's practice parameters for circadian rhythm sleep disorders: planned napping before or during the shift is rated Standard, timed light exposure and melatonin before daytime sleep are rated Guideline, and deliberate caffeine use is rated Option.[1]
None of that is exotic. What's rare is a clinic that applies it to your actual rotation instead of handing you a brochure about sleep hygiene written for people who sleep at night.
Try it yourself first
The guides walk through the same evidence the protocol is built on, for free. If they solve your problem, you never need us. If they don't, the waitlist is where the clinical version starts.
Sources cited on this page
- [1] Morgenthaler TI, Lee-Chiong T, Alessi C, et al., Practice Parameters for the Clinical Evaluation and Treatment of Circadian Rhythm Sleep Disorders, Sleep (2007). https://pmc.ncbi.nlm.nih.gov/articles/PMC2082098/. Accessed 2026-08-01.
Programs open at launch
The guides are free now. The care comes next.
The waitlist is free, it is the only signup that exists, and it decides onboarding order at launch. Until then, use the guides: they cite their sources and they cost nothing.