COVID/Telehealth Updates

January - February 2025 Telehealth and Limited In-Person Appointments Available

1/3/2025

In-person appointments are limited and must be explicitly scheduled in advance. Cases of COVID-19, Respiratory Syncytial Virus (RSV), Strep, Influenza A and B, as well as Norovirus are on the rise. Due to the nature of my work with many clients who are immunocompromized, I am quite cautious when it comes to any potential exposure. In particular, if Dallas County experiences a surge with COVID-19 cases rising into the Orange risk/community spread range, all appointments will shift to Telehealth until case numbers decline. Please note that the latest bivalent COVID-19 boosters, as well as Flu and RSV vaccines, are currently available at local pharmacies.

At present, in-person appointments are available, however, please request a switch to Telehealth if you are experiencing any symptoms of COVID, Flu, Strep, RSV, or Norovirus (stomach bug) the day of your appointment or if you have been recently exposed to someone who is ill.

Prior to scheduling an in-person appointment, clients are asked to:

discuss potential risks and benefits (including personal and household)
be symptom-free for at least 24-hours
have had no known exposure to someone who has tested positive (for COVID, Flu, Strep or RSV) or who is ill within the past 48 hours
if non-symptomatic, either (a) be current with recommended vaccines or (b) remain masked during their in-person session
be aware that COVID-19 symptoms and seasonal allergies may have a similar presentation. If you have a new onset of symptoms, please shift to Telehealth for that day. (Note: Symptoms of the currently dominant variants may include fatigue, sore throat, cough, headache, rash, and/or altered sense of smell.)
be aware that in-person appointments may be shifted to Telehealth if I am experiencing symptoms or have had an exposure to someone who is ill.

Telehealth will remain open as an option to all clients should they feel unwell, or if they simply prefer the convenience of Telehealth sessions.

Summer 2024: Telehealth and In-Person Appointments Available

6/24/2024

In-person appointments must be explicitly scheduled in advance. If Dallas County experiences a surge with COVID-19 cases rising into the Orange risk/community spread range, appointments will shift to Telehealth until case numbers decline. Please note that the latest bivalent COVID-19 boosters, as well as Flu and RSV vaccines, are currently available at local pharmacies.

At present, in-person appointments are available, however, please request a switch to Telehealth if you are experiencing any symptoms of COVID, Flu, Strep, RSV, or stomach bug the day of your appointment or if you have been recently exposed to someone who is ill. Prior to scheduling an in-person appointment, clients are asked to:

discuss potential risks and benefits (including personal and household)
be symptom-free for at least 24-hours
have had no known exposure to someone who has tested positive (for COVID, Flu, Strep or RSV) or who is ill within the past 48 hours
either (a) be current with recommended vaccines or (b) remain masked during their in-person session
be aware that COVID-19 symptoms and seasonal allergies may have a similar presentation. If you have a new onset of symptoms, please shift to Telehealth for that day. (Note: Symptoms of the currently dominant variants may include fatigue, sore throat, cough, headache, rash, and/or altered sense of smell.)
be aware that in-person appointments may be shifted to Telehealth if your clinician is experiencing symptoms or has had an exposure to someone who is ill.

Telehealth will remain open as an option to all clients should they feel unwell, or if they simply prefer the convenience of Telehealth sessions.

January-February 2024: Telehealth and Limited In-Person Appointments Available

1/29/2024

In-person appointments are limited and must be explicitly scheduled in advance. Cases of COVID-19, Respiratory Syncytial Virus (RSV), Strep A, and Influenza typically increase in our area over the winter months. If Dallas County experiences a surge with COVID-19 cases rising into the Orange risk/community spread range, appointments will shift to Telehealth until case numbers decline.

Please note that the latest bivalent COVID-19 boosters, as well as Flu and RSV vaccines, are currently available at local pharmacies.

At present, in-person appointments are available, however, please request a switch to Telehealth if you are experiencing any symptoms of COVID, Flu, Strep, RSV, or stomach bug the day of your appointment or if you have been recently exposed to someone who is ill. Prior to scheduling an in-person appointment, clients are asked to:

discuss potential risks and benefits (including personal and household)
be symptom-free for at least 24-hours
have had no known exposure to someone who has tested positive (for COVID, Flu, Strep or RSV) or who is ill within the past 48 hours
either (a) be current with recommended vaccines or (b) remain masked during their in-person session
be aware that COVID-19 symptoms and seasonal allergies may have a similar presentation. If you have a new onset of symptoms, please shift to Telehealth for that day. (Note: Symptoms of the currently dominant variants may include fatigue, sore throat, cough, headache, rash, and/or altered sense of smell.)
be aware that in-person appointments may be shifted to Telehealth if your clinician is experiencing symptoms or has had an exposure to someone who is ill.

Telehealth will remain open as an option to all clients should they feel unwell, or if they simply prefer the convenience of Telehealth sessions.

Winter 2023-2024: Telehealth and Limited In-Person Appointments Available

12/18/2023

In-person appointments are limited and must be explicitly scheduled in advance. Cases of COVID-19, Respiratory Syncytial Virus (RSV), Strep A, and Influenza typically increase in our area over the winter months. If Dallas County's COVID-19 cases rise into the Orange risk/community spread range, appointments will shift to Telehealth until case numbers decline.

Please note that the latest bivalent COVID-19 boosters, as well as flu and RSV vaccines, are currently available at local pharmacies.

At present, in-person appointments remain available, however, clients are asked to switch to Telehealth if they are experiencing symptoms or have had a recent COVID exposure. In-person appointments are limited and must be explicitly scheduled in advance. Prior to scheduling an in-person appointment, clients are asked to:

discuss potential risks and benefits (including personal and household)
be symptom-free for at least 24-hours.
have had no known exposure to someone who has tested positive or has suspected COVID-19 within the past 48 hours
either (a) be current with recommended COVID-19 boosters, (b) have recovered from COVID-19 in the past 6 months, or (c) remain masked during their in-person session.
be aware that COVID-19 symptoms and seasonal allergies may have a similar presentation. If you have a new onset of symptoms, please shift to Telehealth for that day. (Note: Symptoms of the currently dominant variants may include fatigue, sore throat, cough, headache, rash, and/or altered sense of smell. For some, these begin as mild symptoms and may increase in severity after 3-5 days, at which point you may have been contagious for several days and be beyond the effective window for medications to minimize symptom severity.)
be aware that in-person appointments may also be shifted to Telehealth if the clinician is experiencing symptoms or has had an exposure.

Telehealth will remain open as an option to all clients should they feel unwell, or if they simply prefer the convenience of Telehealth sessions.

If you are experiencing symptoms, have been exposed to COVID-19, or have tested positive, you can read current CDC recommendations and use the Isolation and Exposure Calculator here to determine whether or how long you need to isolate and other steps to prevent spreading COVID-19.

Increasing COVID rates: Telehealth and Limited In-Person Appointments Available

9/12/2023

Dallas County, like much of the rest of the country, is starting to see a significant increase in COVID positivity. Testing data is less consistent and reliable (with unreported home-testing options), so our best information is currently coming from wastewater analysis (see graphs below). If Dallas County's COVID-19 cases rise into the Orange risk/community spread range, appointments will shift to Telehealth until case numbers decline.

September 2023 update: the latest bivalent boosters are now available at local pharmacies.

At present, in-person appointments remain available, however clients are asked to switch to Telehealth if they are experiencing related symptoms or have had a recent COVID exposure. In-person appointments are limited and must be explicitly scheduled in advance. Prior to scheduling an in-person appointment, clients are asked to:

discuss potential risks and benefits (including personal and household)
be symptom-free for at least 24-hours.
have had no known exposure to someone who has tested positive or has suspected COVID-19 within the past 48 hours
either (a) be current with recommended COVID-19 boosters, (b) have recovered from COVID-19 in the past 6 months, or (c) remain masked during their in-person session.
be aware that COVID-19 symptoms and seasonal allergies may have a similar presentation. If you have a new onset of symptoms, please shift to Telehealth for that day. (Note: Symptoms of the currently dominant variants may include fatigue, sore throat, cough, headache, rash, and/or altered sense of smell. For some, these begin as mild symptoms and may increase in severity after 3-5 days, at which point you may have been contagious for several days and be beyond the effective window for medications to minimize symptom severity.)
be aware that in-person appointments may also be shifted to Telehealth if the clinician is experiencing symptoms or has had an exposure.

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