What is the nature of your visit?

[[{"field_id":5597,"subrules":{"field_id":9455,"value":"Sick Visit","operator":"Match"}}],[{"field_id":5597,"subrules":{"field_id":9455,"value":"New Patient","operator":"Match"}}],[{"field_id":5597,"subrules":{"field_id":9455,"value":"Follow-Up","operator":"Match"}}],[{"field_id":5597,"subrules":{"field_id":9455,"value":"Chronic Care and Disease Management","operator":"Match"}}],[{"field_id":5597,"subrules":{"field_id":9455,"value":"Routine Check-Up","operator":"Match"}}],[{"field_id":5445,"subrules":{"field_id":9455,"value":"Virtual Visit","operator":"Match"}}],[{"field_id":5445,"subrules":{"field_id":9455,"value":"Annual Medicare Wellness Visit","operator":"Match"}}]]

Which state will you be located in at the time of the visit?

Please select the state from the list below