Telehealth is a modern form of medical care that brings the doctor’s consultation directly to your home.

Telehealth

Using secure video connections, phone calls, or protected online chats, patients gain access to specialists without traveling to a clinic. This approach helps reach more people, simplifies monitoring of chronic conditions, and makes healthcare truly personalized.

Key Benefits of Telehealth

  • Convenience: all you need is a smartphone or computer with internet access, and the doctor is always within reach.
  • Time savings: no queues, no waiting rooms, no travel expenses.
  • Quick access: in most cases, consultations can be scheduled the same day.
  • Continuous monitoring: crucial for chronic conditions where therapy must be regularly adjusted.
  • Accessibility for remote regions: patients in rural areas receive the same quality of care as city residents.
  • Reduced stress: especially valuable for patients with anxiety or for parents of young children.
  • Flexible formats: video calls, phone consultations, or chat communication available.
  • Enhanced safety: fewer contacts, lower risk of infection transmission.
Confidential online medical questionnaire

Start Your Telehealth Evaluation

Complete this questionnaire to provide the healthcare team with information about your symptoms, medical history, current medications, allergies, previous treatment, and treatment goals.

Patient-specific evaluation Medical history review Provider-directed treatment Prescription approval
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01

Eligibility and Current Location

Telehealth availability may depend on your age and physical location at the time of care.

Do not use this form for a medical emergency. Call 911 immediately for chest pain, severe breathing difficulty, stroke symptoms, loss of consciousness, severe bleeding, overdose, suicidal intent, a severe allergic reaction, or another emergency.
Are you at least 18 years old? *
Please select an option.
Are you completing this questionnaire for yourself? *
Please select an option.
Are you currently experiencing emergency symptoms? *
Please select an option.
02

Reason for Your Visit

Select the medical specialty and condition you want evaluated.

Have you previously been diagnosed with this condition? *
Please select an option.
Are you asking the provider to consider a specific medication? *
Please select an option.
Have you previously used this medication?
Requesting a specific medication does not guarantee that it will be prescribed. The provider will independently determine whether the treatment is appropriate.
03

Patient Information

Enter your legal identity and current contact information.

Pregnancy status, when applicable *
Please select an option.
04

Medical History

Select all current or previous conditions that apply to you.

Medical conditions
05

Medications and Allergies

Complete medication information helps identify interactions, contraindications, and treatment risks.

Medication types used during the past 12 months
06

Clinical Screening

Some treatments require laboratory testing, identity verification, pregnancy prevention, or ongoing monitoring.

Which recent results or measurements are available?
Are you willing to complete testing or monitoring if required? *
Please select an option.
Are you willing to participate in a phone or video consultation if required? *
Please select an option.
07

Pharmacy and Supporting Documents

Provide pharmacy information and identify documents that may support the evaluation.

Supporting documents available
Select supporting documents

Choose relevant laboratory results, medication labels, prescriptions, medical records, or photographs.

No files selected
Accepted formats: JPG, PNG, and PDF. Maximum 5 files. Files are not actually transmitted in this temporary version.
A prescription may be sent to the selected pharmacy only after a provider determines that treatment is medically and legally appropriate.
08

Consent and Final Review

Review the statements below and confirm that the information you provided is accurate.

Assessment summary

Patient
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Current location
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Medical specialty
Not selected
Condition
Not selected
Requested medication
None specified
Preferred pharmacy
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Supporting files
No files selected
A healthcare provider must review the information before making any diagnosis or treatment decision.

Your medical assessment has been submitted

Your questionnaire has been received and added to the provider review queue.

Reference number:

Please keep your reference number for your records. Additional information, testing, identity verification, or a live consultation may be required.

This temporary page version displays a successful submission confirmation but does not transmit or store the entered information. Actual secure submission will be connected later.

Prescription Issuance After a Successful Telehealth Consultation

After your online consultation is successfully completed, a licensed healthcare provider reviews your symptoms, medical history, current medications, allergies, previous treatments, and any supporting documents you submitted. If the provider determines that prescription treatment is medically appropriate, an electronic prescription may be issued as part of your personalized treatment plan.

The entire process is completed online. There is no need to visit our medical office to receive a prescription. Once approved, the prescription is processed electronically so the prescribed medication can be prepared for online fulfillment and delivered discreetly to the address provided by the patient.

  • Complete the confidential online medical assessment.
  • Provide your medical history and current medication information.
  • Participate in a secure online consultation when required.
  • Receive an individualized treatment decision from a licensed provider.
  • Obtain an electronic prescription when treatment is approved.
  • Complete the medication order online and arrange home delivery.

Prescription approval is based on the provider's independent medical judgment. Requesting a particular medication does not guarantee that it will be prescribed. The provider may request identification, recent laboratory results, photographs, medical records, additional screening, or a video consultation before making a final treatment decision.

If the requested treatment is not appropriate, the provider may recommend another medication, additional testing, continued monitoring, or a different form of care. Some conditions may still require laboratory testing or an in-person medical examination before treatment can begin.

Telehealth Services at CHWB Online

  • Online consultations with general practitioners and specialists: from everyday health issues to long-term conditions.
  • Psychological and psychiatric care: regular sessions with professionals to manage stress, anxiety, and depression.
  • Remote diagnostics: symptom assessment, lab referrals, online discussion of results.
  • Chronic disease management: monitoring blood pressure, glucose, heart health, therapy adjustments.
  • Erectile dysfunction support: discreet and effective online consultations for diagnosis, therapy planning, and ongoing care.
  • Pain management: targeted strategies and therapies to reduce chronic or acute pain and improve quality of life.
  • Skin disorders: online evaluation and treatment recommendations for acne, eczema, psoriasis, and other dermatologic conditions.
  • Family medicine: comprehensive health services for individuals and families with continuous primary care support.
  • Bio-identical hormone therapies: tailored programs for hormone balance and long-term wellness.
  • Naturopathic medicine: natural, evidence-based approaches for prevention and recovery.
  • IV nutritional therapy: direct infusion of vitamins and nutrients to restore balance and energy.
  • NAD IV therapy: cellular-level support for energy, focus, and overall health optimization.
  • Homeopathic and holistic care: safe, integrative methods to support the body’s natural healing.
  • Chiropractic treatment: spine and joint adjustments to improve mobility and relieve pain.
  • Weight management and diet nutrition: personalized strategies to achieve and maintain a healthy body weight.
  • Transformation counseling: guidance for lifestyle changes, stress reduction, and personal growth.
  • Massage therapy: therapeutic sessions for relaxation, circulation, and pain relief.
  • FirstLine Therapy: lifestyle medicine programs designed to address chronic illness through nutrition, exercise, and stress management.
  • Patient education programs: healthy lifestyle courses, nutrition advice, and prevention strategies.

How a Telehealth Session Works

  1. Registration and service selection: patients book online, choose a convenient time, and specify their concerns.
  2. Preparation: uploading lab results, photos, or medical records if needed.
  3. Live connection: via video, phone, or chat. The doctor asks questions, evaluates symptoms, and provides recommendations.
  4. Treatment plan: electronic prescriptions, referrals, or lifestyle advice are provided.
  5. Follow-up support: ongoing monitoring and repeat consultations when required.

Who Can Benefit from Telehealth

  • Patients with chronic conditions such as diabetes, hypertension, and asthma.
  • Parents of young children who find clinic visits difficult.
  • Residents of rural or underserved areas.
  • People with limited mobility or disabilities.
  • Busy individuals who value their time and need fast access to care.
  • Anyone seeking mental health support and counseling.

Additional Advantages

  • Access to top specialists without geographic limits: patients can choose experts from any location.
  • Comprehensive care coordination: multiple doctors can manage a patient together.
  • Automated reminders: notifications about appointments and medication schedules.
  • Integration with wearable devices: data from smartwatches and fitness trackers can support monitoring.
  • Flexible payment options: one-time consultations or subscription-based care packages.

FAQ

Can I get a medical certificate online?
Yes, in many cases a doctor can issue an electronic document with signature and seal.

What if I need a physical exam?
The doctor will assess whether the problem can be solved remotely. If not, you will be referred for an in-person visit.

Is Telehealth suitable for seniors?
Absolutely. Our team assists with setup, and the interface is simple enough for elderly patients.

Is the service available 24/7?
Yes. Requests are accepted around the clock, and consultations can be scheduled at your preferred time.

Why Choose Us

  • Experienced physicians from multiple specialties.
  • Secure, modern communication technologies with data protection.
  • Personalized approach for each patient.
  • Options for both one-time consultations and long-term medical care.