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Tick Bite - Lyme Disease Prevention Form 

Complete Your Appointment in 5 Simple Steps: Choose your type, fill in details, and confirm!

1

Patient Information

2

Were you recently in an outdoor location considered to be tick infested?
Were you bitten by a tick?
Was the tick swollen (and not flat)?
Did the tick have black legs?
Do you have a rash where you may have gotten bitten by the tick?

Medical History

3

Do you have any allergies to medications?

Drug History

4

Do you have any red flag symptoms?
Did any of the treatments make your symptoms feel better?
Did any of the treatments make your symptoms feel worse?
Did any of the treatments have no effect on your symptoms?

Review of Symptoms

5

Available: Mon - Fri: 10 AM - 6 PM, Saturday: 10 AM - 2 PM

Select your Appointment Type
Appointment Time

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