Otitis Media/Externa – GoodpillRx

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Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

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Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

Home
Shop
For Providers
About us
Contact us

Generic selectors

Exact matches only

Exact matches only

Search in title

Search in title

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Post Type Selectors

product

product

post

post

page

page

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product_variation

Filter by Categories

Uncategorized

Uncategorized

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Otitis Media/Externa

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address City State ZIP Code

What is your date of birth?*

MM slash DD slash YYYY

What is your height?*

What is your weight?*

What is your gender?*

Male

Female

Are you pregnant/breastfeeding or plan on becoming pregnant?*

Yes

No

Please list all medications prescribed to you even if you don't take them every day. Include vitamins, and dietary supplements. Enter medicines including name, dose, frequency, and reason for taking.*

Please list your allergies, including any allergies to medications.*

Do you have a recent history of any of the following?*

Seasonal or environmental allergies

Exposure to smoke

GERD/Acid reflux

Upper respirtory infection

None

Are you experienceing pain in your ear(s)?*

Yes

No

Which ear have you been experiencing pain?*

Right ear

Left ear

Both ears

Does the pain change when you pull/tug on earlobe?*

Yes, pain worsens

Yes, pain decreases

No, pain remains the same

On a scale of 1-10, how severe is the pain?

Has the pain been getting better, progressively worse or staying the same?*

Getting better

Staying the same

Progressively worse

How would you describe this pain?*

Dull

Full

Sharp

Aching

Burning

Throbbing

How long have you had these symptoms?*

Less than 24 hours

24-72 hours

4-10 days

Greater than 10 days

Do any of the following apply to you?*

The pain started after swimming

There has been drainage from ear

There is dizziness, vertigo or lightheadedness

There is pain or redness in the ear canal or on the outside of the ear

There was sudden hearing loss with this ear pain

None

Have you experienced any discharge from the affected ears?*

Yes

No

Have you experienced any hearing loss?*

Yes

No

In the past 4 weeks did you experience any runny nose, cough, or allergies symptoms?*

Yes

No

Have you had a fever or recently taken your temperature?*

Yes

No

What was your temperature?*

Have you had an ear infection in the past requiring antibiotic treatment?*

Yes

No

When did you last have an ear infection requiring treatment? What was the name of the medication you received?

Have you ever seen a specialist for ear infections or other ear-related conditions?*

Yes

No

Please list conditions and treatments you received from specialist.*

Have you taken an antibiotic for any infection in the past 3 months? This may be any infection and is not limited to ear infections.*

Yes

No

Please list antibiotic taken and reason for prescription.*

Provide a recent heart rate and blood pressure measurement. This can be from a recent appointment (within the past 6 months) or you can have these measured for free at most local pharmacies such as CVS or Walgreens.

Finally, is there anything else we should know?*

Yes

No

Please briefly explain.*

GoodpillRx is dedicated to helping our patients have access to quality, affordable medications, delivered straight to their door.

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