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Cold/Flu/Sinus/Cough//Throat/Respiratory Infection E-Visit

Please complete this form for an e-visit for any respiratory complaints

Please check with your insurance to see if they recognize E-Visits as covered services. Medicare/Tricare/Aetna/UHC and some BCBS plans do not recognize E-Visits. The charge for a non-covered E-Visit is $40

If you had fever please tell us last time you had fever over 100 degree, did it come down after taking Tylenol, ibuprophen, advil or alleve, and how frequent is the fever

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