COVID Therapies

Treatment and therapeutics for patients at high-risk of severe disease and hospitalization from COVID-19.

Test to Treat Centers

Our new Test to Treat Centers are located at our Urgent Care clinics at Bend South, La Pine and Prineville.

It's important to understand, per emergency use authorization from the FDA, we are not allowed to provide these COVID treatments to individuals who don't meet the qualifications. Please use the form below to determine your eligibility. Our staff will review your request and, if you meet the criteria for treatment, will contact you to schedule an appointment.

COVID Therapies Referral Request

By filling out and submitting this form, the patient understands this information is for screening purposes and COVID therapy consultation ONLY and does not guarantee oral or IV therapy.

Are you a patient, caregiver or provider?

Patient

Caregiver

Provider

Caregiver/Provider Name

	Check box if ALL of the following apply:
	The patient is older than 12.
	The patient has a positive COVID viral test (home tests NOT accepted).
	The patient is not experiencing severe disease or requiring oxygen supplementation due to COVID-19.
	The patient's symptoms started within the past 7 days.
	The patient has one of the following co-morbidities:

Other comorbidities

Please use this area to enter any comorbidities that aren't listed above.

Severe Immunocompromising Condition or Therapy

Patients who are within 1 year of receiving B-cell depleting therapies (e.g., rituximab, ocrelizumab, ofatumumab, alemtuzumab)
Patients receiving Bruton tyrosine kinase inhibitors
Chimeric antigen receptor T cell recipients
Post-hematopoietic cell transplant recipients who have chronic graft versus host disease or who are taking immunosuppressive medications for another indication
Patients with tumors or hematologic malignancies who are on active therapy
Lung transplant recipients
Patients who are within 1 year of receiving a solid-organ transplant (other than lung transplant)
Solid-organ transplant recipients with recent treatment for acute rejection with T or B cell depleting agents
Patients with severe combined immunodeficiencies
Patients with untreated HIV who have a CD4 T lymphocyte cell count <50 cells/mm3

Patient does NOT meet qualifications

We're sorry. Based on the answers you have provided, the patient does not meet the qualifications for the COVID therapies we offer at St. Charles. If you feel you have reached this message in error, please reach out to your primary care provider to discuss.

Thank you.

Patient Vaccination Status

Unvaccinated or incomplete primary COVID-19 series received

Full primary vaccine series received not boosted but eligible

Full primary vaccine series as well as booster

Patient's First Name

Patient's Middle Name

Patient's Last Name

Patient's Date of Birth

Format: MM/DD/YYYY

Date of symptom onset

Patient's Height

Patient's Weight

Patient's Phone

Acknowledgement

By filling out and submitting this form, the patient understands this information is for screening purposes and COVID therapy consultation ONLY and does not guarantee oral or IV therapy.

Our recommendation: Continue care at home

Most people who get COVID-19 will recover with time and home care. Here are some things to know if you're caring for someone who's sick.

Patients with COVID-19 who are treated with medications for underlying medical conditions should not discontinue these medications during acute management of COVID-19 illness unless directed by a health care provider.

Common symptoms include fever, coughing and feeling short of breath. Be sure to get extra rest and drink plenty of fluids to replace fluids lost from fever.

To reduce a fever, take Acetaminophen (such as Tylenol). It may also help with muscle aches. Read and follow all instructions on the label.

Watch for signs that the illness is getting worse

You may need medical care if you're getting sicker (for example, if it's hard to breathe). But call your doctor's office before you go. They can tell you what to do.

Consider contacting your primary care provider for a phone or virtual visit

If you would like a phone or virtual visit during this time, please contact your primary care provider’s office or, if you're a St. Charles patient, visit our virtual visits page.

Call 911 or emergency services if you have any of these symptoms:

Severe trouble breathing or shortness of breath
Constant pain or pressure in their chest
Confusion or trouble thinking clearly
A blue tint to your lips or face