VistaDX Intake

Illness and internal symptoms

I have a medical problem. Choose the symptom group that best matches what is bothering you today.

Allergic reaction, hives, or swelling Hives, itching, facial or tongue swelling, food or sting reactions, or concern for an allergic-type reaction. Breathing, cough, or cold symptoms Cough, congestion, wheezing, shortness of breath, or similar breathing concerns. Chest pain or discomfort Pressure, tightness, rib pain, chest soreness, or similar chest symptoms. Stomach or abdominal problem Stomach pain, abdominal cramps, nausea, vomiting, or digestive concerns. Urinary problem Burning with urination, urgency, frequency, urine changes, or similar bladder symptoms. Pelvic or reproductive concern Pelvic pain, bleeding, discharge, groin, or reproductive concerns. Headache or neurologic symptoms Headache, facial pressure, dizziness, numbness, or other head-related symptoms. Eye problem Red eye, eye pain, drainage, vision change, something in the eye, or eye injury. Ear, nose, or throat problem Sore throat, swallowing pain, ear pain, pressure, or similar upper-airway symptoms. Mouth, teeth, or gum problem Tooth pain, gum swelling, mouth sore, jaw swelling, or a dental injury. Feeling generally sick or feverish Fever, chills, body aches, weakness, or feeling sick all over. Medication side effect or reaction A new symptom after starting medicine, a side effect, reaction, wrong dose, or concern about how a medicine is affecting you.

Skin, injury, and movement problems

Choose the body area or injury type that fits best.

Skin or rash problem Rash, itching, redness, swelling, or a painful skin change. Back or neck problem Back pain, neck pain, stiffness, or symptoms that spread into an arm or leg. Arm, shoulder, hand, or wrist problem Arm, shoulder, elbow, wrist, or hand pain, weakness, swelling, or numbness. Hip, leg, knee, ankle, or foot problem Hip, leg, knee, ankle, or foot pain, swelling, weakness, or numbness. Cut, wound, or puncture Open cut, scrape, puncture, bite, or another wound that broke the skin. Burn Heat, fire, chemical, electrical, or scald burns.

Visits, forms, and follow-up needs

I need a visit or service. Choose the visit type, service, or follow-up you need.

Follow-up visit A planned recheck, return visit, or review after a recent concern. Medication question or refill Refill, side effects, dose concerns, or another prescription question. Wellness or annual visit Routine preventive care, annual physical, or checkup. Establish care / new patient A first primary-care visit, establishing with a new clinician, or building baseline care context. Sports physical School, camp, or sports participation physical. Employment physical Pre-employment, work, or occupational physical. Drug screen Employment, school, or program drug testing.

Tell us what is bothering you today

Illness and internal symptoms

Skin, injury, and movement problems

Visits, forms, and follow-up needs