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What is your date of birth?

PLEASE CHECK ALL THAT APPLY

WHEN DID SYMTPOMS BEGIN?

DID YOUR SYMPTOMS START TO GET BETTER BUT ARE GETTING WORSE NOW?

DO YOU HAVE ANY OF THE FOLLOWING? CHECK ALL THAT APPLY

DO YOU HAVE ANY OTHER HEALTH CONDITIONS SUCH AS DIABETES, CHRONIC HEART, KIDNEY OR LIVER DISEASE?

IS THERE ANYTHING ELSE WE SHOULD KNOW ABOUT YOUR MEDICAL HISTORY?

ARE YOU CURRENTLY TAKING ANY MEDICATIONS? PLEASE INCLUDE OVER THE COUNTER MEDICATIONS AND HERBAL OR VITAMIN SUPPLEMENTS

ARE YOU ALLERGIC TO MEDICATIONS?

TREATMENT OPTIONS

PLEASE SELECT ONE

FAQ'S

Treatment of a bacterial sinus infection should be started if you have worsening symptoms or fail to improve after seven days.

  • What are Common Side Effects?: Possible side effects of all three medications are very similar. These include headaches, nausea, vomiting, diarrhea, and dizziness.
  • Do not take Augmentin if you have severe kidney disease.
  • Do not take any of these medications if you are allergic.

All of these drugs are available as a generic medication. Augmentin is approximately $12, Doxycycline is approximately $12 and a Z-Pak is approximately $10. These prices are taken from www.goodrx.com without insurance. Most insurance will cover the cost of these medications.

ENTER YOUR PREFERRED PHARMACY INFORMATION HERE

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Total Payment Value: $25.00