COVID-19 (Coronavirus) Advisory: If you believe you have been exposed to COVID-19 or are experiencing symptoms, please contact your primary care physician, 68Nurse or the BasinMD app to seek guidance.  
For more information and resources regarding COVID-19, visit midlandhealth.org/COVID-19. For vaccine information, visit midlandhealth.org/vaccine.
 To submit a self-referral for Monoclonal Antibody (Regeneron) treatment, click here.

Midland County COVID-19 Statistics           Hospital COVID-19 Statistics     *Last updated on  9/21/2021 at  8:27 AM

Monoclonal Antibody Infusion Screening Questionnaire

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No payment or Insurance required. If you have insurance, your insurance will be billed. 

Please make sure to answer your phone or have your voice mail set up so we can reach you after submitting the form to schedule your appointment.

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Overweight – BMI >25
BMI Calculator
Chronic Kidney Disease
Diabetes
Immunosuppressive Disease or Receive Immunosuppressive Treatment
50 or older AND ALSO HAVE heart disease, high blood pressure, or a chronic respiratory disease (like COPD)



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