Head Lice Telemedicine Visit
  • Date of Birth*
     - -

  •
  • Format: (000) 000-0000.
  • What was your gender at birth?*

  • You should NOT use Omnia TeleHEALTH if you are experiencing an emergency. Emergencies include but are not limited to:

    • Severe or unusual chest pain
    • Severe shortness of breath
    • Symptoms of a stroke (such as facial drooping, arm weakness, or speech difficulties)
    • Thoughts of harming yourself or others
  • ARE YOU EXPERIENCING AN EMERGENCY? IF YOU ARE EXPERIENCING AN EMERGENCY, CALL 911 OR GO TO AN EMERGENCY ROOM IMMEDIATELY.*



  • Lice eggs, also known as nits, look like tiny brown or white dots attached to the hair. Nits should not be confused with dandruff, which can be easily flicked off. Nits cannot be flicked off as they attach to single strands of hair. 

  • Are there nits on your head?*


  • Adult lice are about the size of a sesame seed and can be hard to detect. Combing wet or dry hair with a fine-toothed nit comb can better detect adult lice. Please refer to the image above to see how adult lice (A) and nits (D) compare in size to a sesame seed (B) and strawberry seed (C). 

  • Are there adult lice on your head?*
  • Do you see nits or lice on any location other than the head?*
  • When did you first notice nits or lice?*
  • Does your scalp itch?
  • How bad does your scalp itch?*
  • Do you have rashes on the scalp or back of the neck due to scratching?*
  • Do you have any of these symptoms on the scalp? (Select ALL that apply)*
  • Have you been informed that lice have been found at group settings such as school, daycare, or work?*
  • Do any of your household members or close contacts have nits or lice?*
  • Have you tried any of the following to treat nits or lice? (Select ALL that apply)*
  • Do you have any medication allergies?*
  • Are you currently taking any medications?*
  • Are you pregnant?*
  • Are you breastfeeding?*

  • PHARMACY INFORMATION

    Please choose where you would like your prescription sent
  • Would you like to add any additional information or questions for the provider to see?*

  • My Products*

    prevnext( X )
    Telemedicine Visit Product Image
    Telemedicine Visit
    $39.00$39.00
      
    Total
    $0.00$0.00
  • Should be Empty: