UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549



                                    FORM 8-K

                                 CURRENT REPORT

     Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

       Date of Report (Date of earliest event reported): October 27, 2004
                                                         ----------------

                                  I-TRAX, INC.
             ------------------------------------------------------
             (Exact name of registrant as specified in its charter)

            Delaware                   0-30275               23-3057155
   ------------------------     -------------------   ------------------------
 (State or other jurisdiction       (Commission           (IRS Employer 
       of  incorporation)           File Number)         Identification No.)

             One Logan Square
      130 N. 18th St., Suite 2615
        Philadelphia, Pennsylvania                             19103
----------------------------------------                  -----------------
 (Address of principal executive offices)                   (Zip Code)


       Registrant's telephone number, including area code: (215) 557-7488


                                       N/A
              -----------------------------------------------------
          (Former name or former address, if changed since last report)










Item 1.01         Entry into a Material Definitive Agreement.

     I-trax, Inc., certain of its direct and indirect subsidiaries,  and Bank of
America,  N.A., are parties to a senior secured  credit  facility  pursuant to a
Credit  Agreement  dated as of March 19,  2004.  On October  27,  2004,  I-trax,
certain of its direct and  indirect  subsidiaries,  and Bank of America  entered
into a Fourth Amendment to the Credit Agreement. Under the Fourth Amendment:

     o    The Funded  Indebtedness  to EBITDA  Ratio and Fixed  Charge  Coverage
          Ratio are increased.

     o    The  Consolidated  Net Worth  covenant  is  amended  to move the first
          measurement  date for the  covenant  from October 31, 2004 to December
          31,  2005,  and to restate the  covenant as a  maintenance  of minimum
          stockholders' equity at 90% of the level as of December 31, 2005.

     o    The credit  facility's  aggregate  commitment is  $14,000,000,  with a
          sub-limit of $3,000,000 for letters of credit, and outstanding letters
          of credit are excluded from the credit facility borrowing base through
          January 1, 2006.

     o    Amounts  outstanding  under the term  loan  commitment  of the  credit
          facility are converted into the revolving credit  commitment,  and the
          term loan commitment is eliminated.

     o    The credit facility expires April 1, 2007.

     In  connection  with the  Fourth  Amendment,  I-trax  will issue to Bank of
America a warrant  to  purchase  100,000  shares  of I-trax  common  stock at an
exercise price of $.01 per share. The warrant will expire on December 31, 2014.

     The Fourth  Amendment and the form of Common Stock Warrant  Certificate are
attached to this Current Report as Exhibits 10.1 and 4.1, respectively,  and are
incorporated in this Current Report by reference.

Item 9.01      Financial Statements and Exhibits.

(c)            Exhibits

4.1            Form of Common Stock Warrant Certificate of I-trax, Inc. 

10.1           Fourth Amendment to Credit Agreement, dated October 27, 2004, 
               by and among I-trax, Inc., certain subsidiaries of
               I-trax, Inc. and Bank of America, N.A.

99.1           Press release, issued October 27, 2004.

                                    SIGNATURE

     Pursuant to the  requirements  of the Securities  Exchange Act of 1934, the
registrant  has duly  caused  this  report  to be  signed  on its  behalf by the
undersigned hereunto duly authorized.


                                              I-TRAX, INC.                      




Date:  October 29, 2004                       By:   /s/ Frank A. Martin         
                                                  ------------------------------
                                              Name:   Frank A. Martin
                                              Title:  Chief Executive Officer