Urinary tract infection (female)

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Texas Telemedicine Doctor

Use this form if you are female and you think you have a UTI or if you have a UTI that has not resolved after previous treatment

Last name *

Date of birth *

YYYY

Is there any chance you could be pregnant? *

Yes

Other:

When was the first day of your last menstrual period? If you do not know, try to give an approximate date. If you have not had a period in more than 1 year, enter "I am not having periods."

Example: My last menstrual period started around June 7th, 2019

Have you ever passed a kidney stone?

Yes

Clear selection

How many UTIs have you had in the last year that required treatment?

None

1 - 2

3 or more

Clear selection

Is this a new UTI or is this an ongoing UTI that has already been treated with a prescription antibiotic?

This is a new UTI

This is an ongoing UTI that has already been treated with an antibiotic

Clear selection

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