Clinic Visit Requirements
Telemedicine(eVisit) Requirements
Telemedicine, also known as telehealth, allows us to meet with you virtually to assess your needs and, if appropriate, write prescriptions.
E-Visit Requirements
You must have the following available to you during your e-visit.
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Digital weight scale*
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Digital blood-pressure cuff (wrist cuff is permissible)*
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Measuring tape for hip and waist measurements
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Video-enabled device
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Photo identification (valid government-issued ID)
PLEASE NOTE
Urgent Care and Men’s Health eVisits do not require a weight scale or a blood pressure cuff.
Weight Management
Restrictions
Patients are ineligible for a controlled-substance appetite suppressant prescription and are subject to forfeiture of deposits for the following reasons:
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Uncontrolled hypertension
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Active case of glaucoma
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Heart disease or dysfunction
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BMI below 24**
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Active prescription for ADD, ADHD, Narcolepsy, Wakefulness, or Another Appetite Suppressant Rx
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Unqualified State of Residency (e-visits)*
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Clinician determines such prescriptions are unsafe for unlisted medical reasons
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Patient has multiple prescribers for appetite suppressants
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Failure to appear for appointment or notify staff of inability to appear 24 or more hours prior to scheduled appointment (e-visits)
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Failure to appear for eVisit appointment WITH required equipment (i.e. working blood pressure cuff, tape-measure, working scale, ID, payment)
Semaglutide / Tirzepatide Restrictions
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Age under 18
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Pregnant or unsure if pregnant; breastfeeding
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Renal insufficiency (Kidney dysfunction); Kidney stones are NOT a contraindication
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Current substance abuse (prescription medications or illicit drugs)
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Active eating disorder (anorexia or bulimia)
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Current active cancer of any kind
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Bariatric surgery within the past 18 months
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Gallbladder dysfunction or active symptomatic gallstones
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Pancreatitis within the past 6 months
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Partial thyroid removal; complete thyroid removal is NOT a contraindication unless gland was removed secondary to thyroid cancer
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History of multiple endocrine neoplasia syndrome (MEN syndrome), medullary thyroid cancer (MTC), or any type of thyroid C-cell tumor.
Semaglutide / Tirzepatide Precautions
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Age 65 or older. Studies have not been done in this age group. Discuss with one of our clinicians to determine is Semaglutide is an appropriate option.
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Semaglutide can lower your blood glucose (can cause hypoglycemia). Discuss with one of our clinicians to determine is Semaglutide is an appropriate option.
PLEASE NOTE
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All patients will be subject to a (PMP) Prescription Management Program Check as required by state-law.
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Our weight loss services are available to patients with a body mass index (BMI) of 30 kg/m² or greater, as well as those with a BMI between 24 and 29.9 kg/m² who present with two or more co-morbid conditions.
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REQUESTS FOR NARCOTIC MEDICATION(S) WILL NOT BE ENTERTAINED.
Contact Us
Express Health Systems accepts walk-ins at our Tyler and Plano, Texas, clinics. You can also schedule a virtual appointment through our online platform to start your wellness journey from the comfort of your own home.
To get started, visit us at either location Monday through Saturday from 8 A.M. to 5 P.M., no appointment necessary.
Telemedicine visits are available by appointment only Monday through Saturday from 8 A.M. to 10 P.M.