Removal · field guidance

When telehealth is OK vs in-person

Telehealth is fine for prophylaxis decisions and rash review; in-person is needed for fever, neurologic, or cardiac symptoms.

Steps

schema.org/HowTo

01
Telehealth is appropriate for: deciding on single-dose doxycycline within 72 hours, reviewing photographed rashes, refilling treatment.
02
In-person care is needed for: any fever in a child, suspected RMSF, suspected babesiosis, joint swelling needing exam.
03
Emergency department: facial palsy, palpitations or syncope, severe headache, ascending weakness, confusion.
04
Bring saved tick photos and a symptom log to telehealth visits to compensate for the lack of physical exam.
05
If telehealth recommends in-person follow-up, do not delay — same-day or next-day is the norm in tick-borne illness.

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