Are you a new or returning patient?

    • [[{"field_id":15844,"subrules":{"field_id":15842,"value":"New Patient","operator":"Match"}}],[{"field_id":16349,"subrules":{"field_id":15842,"value":"Returning Patient","operator":"Match"}}]]

Have you seen Kyle Williams, PA for this problem before?

    • [[{"field_id":15843,"subrules":{"field_id":16349,"value":"Yes\u00a0","operator":"Match"}}]]

Please choose the type of visit

    • [[{"field_id":15844,"subrules":{"field_id":15843,"value":"Established Patient In-Office Visit (not new problem)","operator":"Match"}}],[{"field_id":15844,"subrules":{"field_id":15843,"value":"Video Telemedicine Visit - Established Patient","operator":"Match"}}],[{"field_id":15844,"subrules":{"field_id":15843,"value":"MRI Results Review In-Office Visit","operator":"Match"}}]]

Is your PCP a Middleton Family Medicine or Allaracare Medical Group Provider?