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Available Forms

Conjunctivitis/Pink Eye E-Visit

Please complete this form for any complaints of eye discharge, redness or irritation. If you have light sensitivity or have any visual loss you should seek immediate attention by calling us or going to the ER

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
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