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Electronic Medical Consultation
All conditions rates start at $39. No insurance is required.
Explain your symptoms or tell us how we can help today.
Do you have allergies to any medications? YesNo
Are you pregnant or breastfeeding? YesNo
Did you or your partner test positive for chlamydia? YesNo
Did you or your partner test positive for gonorrhea? YesNo
Describe your recent sexual behavior: New sex partnerUnprotected sexMultiple sex partnersSex partner with sexually transmitted infection (STI)None of the above
What area is affected? PenisScrotumVaginaMouth/throatRectal
What symptoms have you been experiencing recently? Burning during urinationGenital irritationGenital itchingPain during intercourseSevere testicular pain or swellingGenital dischargeNausea or vomitingAbdominal painBlood in urineFever or chillsI don’t have any of these symptoms
Have you ever been treated for Chlamydia/Gonorrhea? YesNo
Smoker? YesNo
Alcohol use? OccasionallyFrequentlyDailySociallyNever
Any medical family history? YesNo
Do you have any medical conditions? YesNo
Have you ever had any surgeries or recent hospitalizations? YesNo
Do you currently take any medications, herbals, or supplements? YesNo
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