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Available Forms

Urinary Tract Infection E-Visit

Please complete this e-visit form if you feel you have a bladder or urinary tract infection

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