TeleMedicine Appointment Requests

Please be aware that we are only accepting new patients from Fauquier and bordering counties of Virginia only. New patients are defined as not having been seen in our office within the past 36 months. You can appeal this limitation by sending us an email. Appeals by phone will NOT be accepted. In only very rare and selective cases have we made exceptions.

In order to qualify for telemedicine services, all the following steps must be completed!!! Read carefully!


STEP 1: Make sure you have the equipment to allow for telemedicine services.

test AV

In order to be eligible for telemedicine services, interested patients MUST meet the following criteria:

• You MUST have access to high-speed WiFi internet or a strong cell signal
• You MUST have a smartphone (ie, iPhone,  Android), iPad, and/or computer with video/microphone.

If you want to test and make sure your setup will work, click here (You will go to a different webpage where the test will auto-run and check your internet speed as well as audio-video capabilities; after a few minutes, the results will appear at the bottom. Good or excellent for both audio and video is necessary for telemedicine.)

doxy.meGoogle Duo

• For the actual program used for telemedicine, our office uses either Google Duo or Doxy.me. Just let us know at time of appointment which program you would like to use. Both are secure video chat programs available to use with most computer/smartphone browsers (Safari, Chrome, or Firefox).

Google Duo can be used with a broswer or with a FREE app. Google Duo does require you to create an account however.

Doxy.me does NOT require you to create an account nor requires any app download. It is only available to use through an internet browser (Safari, Chrome, or Firefox).

Any troubleshooting should be directed to your hardware vendor (our office has very limited IT capabilities).


STEP 2: Download registration paperwork and provide ID documentation

You Are a NEW Patient: If you have NOT been seen in our office within the past 36 months...  

Download the registraton forms. Please complete ALL 4 pages. We will also need a photo of your:

• Driver's License as well as
• Front and back of your insurance card.

You are an ESTABLISHED Patient: But it's been over 1 year... 

Download the registraton forms and complete only the first 2 pages. If your insurance has changed since we last saw you, we will also need a photo of the front and back of your insurance card.

If you have been seen recently within the past year, SKIP to step 3!

audiogram

IF YOU HAVE AN EAR RELATED PROBLEM... For any problems involving the ear (clogged ears, tinnitus, etc), please take an online hearing test even if you do not feel any hearing loss is present and send the results to us. Having this information on hand will expedite the telemedicine appointment. When you perform the hearing test, make sure you perform the test on  BOTH sides by first selecting the LEFT (blue button) and then the  RIGHT (red button). If done correctly, you should see both RED CIRCLES and BLUE X's on the chart as shown in the image to the right.

Also, purchasing a digital otoscope would be ideal so that images of the ear canal and eadrum can be obtained at home and shown to the doctor during your telemedicine visit. Digital otoscopes can be purchased on Amazon typically between $30-$50. It can be connected to either your smartphone or your computer depending on the model you purchase. Having images of the eardrum is particularly important if there is any ear pain, hearing loss, or clogged ear sensation in order to evaluate for possible ear infection, fluid in the ear, earwax, eustachian tube dysfunction, etc.


STEP 3: Download and SIGN the TeleMedicine Consent Form

If you have not already submitted a consent form within the past year, download and sign the TeleMedicine Consent form here.

If we already have a recent consent form on file, you can SKIP this step. (Recent meaning within the past year.)


STEP 4: Send us all the paperwork

Once our office has received all your information, a staff member will contact you within 1 business day to setup a day and time of your TeleMedicine appointment. TeleMedicine appointments are sched Mon-Thurs in the afternoons.

There are FOUR ways to send us all the above information.

1. Mail it to us via US postal service. Mail to:

Fauquier ENT
ATTN: TeleMedicine Forms
550 Hospital Drive
Warrenton, VA 20186


2. Fax it to our office at 540-347-5224 (PLEASE STATE on fax cover sheet "TeleMedicine Appointment")

3. Email all the information to: soaper (at) FauquierENT (dot) net

In the subject line, please state "TeleMedicine Forms." Keep in mind that email is NOT considered a secure way to send us information.

4. Complete the web form below


If the form is not loading properly, click here.



Information on Common Problems Seen in Our Office

ear tube
Phlegmy Throat

ear clicking
Clogged Ears

ear clicking
Chronic Throat Clearing

eardrum hole
Lump in Throat