TeleVisit Request

Make a TeleVisit request today. We are proud to offer you a telemedicine solution for visits that don’t require an in-clinic visit. Examples include sinus infection, medication refills, or allergies.

Your TeleVisit Experience

Once you submit your form, our clinic will review the information and will call you within approximately 24 hours on the phone number you provided. At that time, you will give the clinic a credit or debit card to put on file. We will review your information and you will have a telephone visit with the provider to address your concerns.

TeleVisit Hours

Our clinics are available to complete your visit during the following hours:

Christmas Eve 8 am-12 pm CST

Christmas Day CLOSED

New Year’s Eve 8 am-12 pm CST

New Year’s Day CLOSED

Monday thru Friday 8 am-7 pm CST

Saturday thru Sunday 9 am-3 pm CST

Please note that a clinic staff member will contact you before the end of the following business day. In addition, please only submit a form if you intend to have an appointment over the phone. Do not submit a form if you are coming in person into a clinic.

We will bill your insurance company for this visit. If your insurance does not cover all or part of the visit, your card on file will be charged up to $49. A TeleVisit requires a debit or credit card on file. Please have this card information ready to give over the phone when the clinic calls you.

TeleVisit Request Form
PLEASE NOTE: This request is not intended for emergencies. If you are experiencing an emergency, please dial 911. A provider will contact you within 24-hours to schedule your TeleVisit.
*Pease understand there is no guarantee of COVID-19 testing. Our providers will evaluate you and make testing recommendations on an individual basis.
Click or drag files to this area to upload. You can upload up to 2 files.
Click or drag files to this area to upload. You can upload up to 2 files.

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