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Plan C

Includes:
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Review of 4 diagnoses (may be substituted for a"chief complaint" in a case where diagnosis is not clearly established)
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Your specific concern related to the diagnoses (if any)
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Review of your medical notes from your physician
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Brief review of your relevant medical and surgical histories and their contribution to your diagnoses
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Brief review of medications, labs, & imaging related to diagnoses
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Medication reconciliation (5 medications) - pharmacodynamics, effectiveness, drug interactions etc.
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Dedicated supplement literature review (up to 3 supplements)
All the information we need is in the form below.
If we need any additional information, we will contact you.
If you have any other questions, please visit our FAQs page.
**Our report is only as good as the information provided. Please be sure to provide legible documents/medical notes from your primary care physician or through your online health portal. Under the CARES Act, every patient has the right to all of their medical notes/records instantly through an online portal. You may request this from your physician's office or hospital.**
Medical specialties we currently do not review: pediatrics, oncology, oculoplastics, and few other rare sub-specialties.
If the form below does not open in your browser, try a different browser. If you still have technical issues, email us at support@counselmd.com, and we will send you a link to the form.
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