Are you a new or a returning patient?

  • [[{"field_id":20872,"subrules":{"field_id":20871,"value":"New Patient","operator":"Match"}}],[{"field_id":22612,"subrules":{"field_id":20871,"value":"Returning patient","operator":"Match"}}]]

Are you looking for an in-office visit or a telehealth visit?

  • [[{"field_id":20107,"subrules":{"field_id":20872,"value":"In-Office visit","operator":"Match"}}],[{"field_id":22617,"subrules":{"field_id":20872,"value":"Telehealth visit","operator":"Match"}}]]

Are you looking for an in-office visit or a telehealth visit?

  • [[{"field_id":20107,"subrules":{"field_id":22612,"value":"In-Office visit","operator":"Match"}}],[{"field_id":22614,"subrules":{"field_id":22612,"value":"Telehealth visit","operator":"Match"}}]]

Reason for visit

  • [[{"field_id":20866,"subrules":{"field_id":20107,"value":"Primary care","operator":"Match"}}],[{"field_id":22615,"subrules":{"field_id":20107,"value":"Mental health","operator":"Match"}}],[{"field_id":20873,"subrules":{"field_id":20107,"value":"HIV care","operator":"Match"}}],[{"field_id":22613,"subrules":{"field_id":20107,"value":"STI treatment","operator":"Match"}}]]

Reason for visit

  • [[{"field_id":20866,"subrules":{"field_id":22617,"value":"Primary care","operator":"Match"}}],[{"field_id":22615,"subrules":{"field_id":22617,"value":"Mental health","operator":"Match"}}],[{"field_id":20873,"subrules":{"field_id":22617,"value":"HIV care","operator":"Match"}}],[{"field_id":22613,"subrules":{"field_id":22617,"value":"STI treatment","operator":"Match"}}]]

Reason for visit

  • [[{"field_id":20866,"subrules":{"field_id":22614,"value":"Primary care","operator":"Match"}}],[{"field_id":22615,"subrules":{"field_id":22614,"value":"Mental health","operator":"Match"}}],[{"field_id":22613,"subrules":{"field_id":22614,"value":"STI treatment","operator":"Match"}}]]

Are you receiving a case management service from Palmetto Community Care?

Are you receiving a case management service from Palmetto Community Care?

Are you receiving a case management service from Palmetto Community Care?

Are you receiving a case management service from Palmetto Community Care?