Other issues (form not found)
Texas Telemedicine Doctor

Use this form for problems that you did not find a specific form for. If there is more than 1 issue, you can include them all on this single form.
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Please tell me about your issue(s). If applicable, include  the following details: symptoms, duration of symptoms, frequency of symptoms, factors that affect symptoms, and treatments tried. If you are reporting more than one issue, enter them on a separate line. Hit [ENTER] for a new line.
Example: I have been getting a sharp pain in my upper abdomen for 2 months that occurs about 3 times a week. The pain is worse after I eat spicy food. I have taken Pepcid which helped some.
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