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Plan Q

Just a Question!
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Under this plan, you can ask us a specific targeted question about anything you have doubts on or want to understand better
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Question must be simple and focused
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Examples: "I have hypertension and I started a new medication called XYZ - can this cause me to have chest pain?". "I have heart disease and now have pain in my foot - could this be related to my heart disease?"
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Brief overview of medications or allergies if directly related to your question
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This option is not intended for insight into diagnoses/disease, medication review, or other complex information.
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All the information we need is in the form below.
If we need any additional information, we will contact you.
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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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