Are you physically present in the state of Michigan at this time?

Are you physically present in the state of Michigan at this time?
    • [[{"field_id":20864,"subrules":{"field_id":27126,"value":"Yes","operator":"Match"}}]]

Are you scheduling a telehealth visit for any Employment related services?

Are you scheduling a telehealth visit for any Employment related services?
    • [[{"field_id":24600,"subrules":{"field_id":20864,"value":"No","operator":"Match"}}]]

Are you being seen for any of the following medical conditions?

• Abdominal pain

• Abscess

• Chest pain or tightness

• Difficulty breathing

• Dizziness

• Ear pain

• Fever over 101.5 unless child aged 10 and over

• Facial droop or weakness

• Injuries requiring x-rays

• Severe headaches

• Skin lesion

• STD treatment & testing

• Vaginal bleeding

• Workers' compensation cases

Are you being seen for any of the following medical conditions? • Abdominal pain • Abscess • Chest pain or tightness • Difficulty breathing • Dizziness • Ear pain • Fever over 101.5 unless child aged 10 and over • Facial droop or weakness • Injuries requiring x-rays • Severe headaches • Skin lesion • STD treatment & testing • Vaginal bleeding • Workers' compensation cases