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COVID-19 Updates

Our top priority is keeping you and our staff as safe and as informed as possible during the Coronavirus (COVID-19) pandemic. We will continue to care for you without interruption through our easy to use telehealth platform.

Call (410-465-5451) or email our office if you need an appointment or have any questions. The Family Health Connection staff will help you through the entire process of doing a telehealth visit from the safety of your home.

We hope the entire Family Health Connections patients, medical providers, and staff stays safe and healthy during this difficult time.

COVID-19 Screening Questionaire

FAMILY HEALTH CONNECTIONS

Name*

DOB*

Phone*

Home Address*

Email Address*

Primary Insurance *

Member ID*

Have you traveled to the following countries in the past 45 days (check all that apply)*

Have you had close contact (being within 6 feet or that person for an extended amount of time) with a confirmed case of COVID-19 in the past 45 days?

Select an option

Has a Public Health Official communicated that you were potentially exposed to COVID-19?

Select an option

Have you had any of the following symptoms over that past 30 days? *

How long have you had symptoms? Last temperature? (skip if it does not apply)

Any other symptoms you want to share with us?

Select your appointment date*

Time of Appointment *

On The Day of Testing For Covid -19

Dear Clients

When you book the appointment you will get an email to fill out your intake forms be sure to take a picture of your insurance card front /back and put your social security number OR drivers license number in the appropriate slots if you don't have insurance. 

IT IS NOT OPTIONAL

When you arrive for testing, find a space and park in front of the building. There is usually a white table with a box in front of the building towards the door entrance at your left. Pick one lab slip per person being tested and fill out the highlighted areas 


Please be sure to write your name, date of birth, address, email, phone number and more importantly your insurance

information CLEARLY!

Call 410 465 5451 when you are done filling out the lab slips. The testing is done inside your car in the parking lot.

IF YOU DO NOT HAVE INSURANCE BE SURE TO PUT YOUR SS NUMBER  OR  DRIVERS LICENSE NUMBER ON THE LAB SLIP. FAILURE TO PROVIDE THESE INFORMATION WILL DELAY PROCESSING OF YOUR SPECIMEN AND CONSEQUENTLY DELAY YOUR RESULTS!

The nurse practitioner will see you and collect the specimen


ESTABLISH ACCOUNTS WITH THE LABS TO GET YOUR RESULTS

.


Thank you very sincerely!


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Call Us Today To Schedule An Appointment


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