Have you tested positive for COVID-19?
If yes, please provide the exact date of your positive test.
Have you had COVID-19 prior to right now?
Have you been vaccinated for COVID-19?
Is there any chance that you might be pregnant?
Have you been in close contact with a person who tested positive for COVID-19?
If yes, what is your relationship to that person (husband, coworker, stranger, etc.)?
How are you feeling?
Do you have any symptoms related to COVID-19?
If yes, when did your symptoms start?
Please select all the symptoms you have experienced.
Let's find the right treatment for you
Do you take any of the following medications?
Have you been diagnosed with the following conditions ?
Would you like to share anything else with your provider through an upload?