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Core Physicians is Here For You

COVID-19 Treatments – Paxlovid & Monoclonal Antibody

Most people with COVID-19 infections feel better by the end of their isolation without any treatments.  However, COVID-19 can cause severe illness and even result in death in some people. For people ages 65 and older or with certain risk factors, there are treatments that can significantly reduce the chance of needing to be hospitalized or even dying from COVID-19, when given early in the infection.  If you just tested positive for COVID-19 and are 65 or older or have any of these medical conditions, please make an appointment with your primary care provider to discuss if treatment is appropriate for you.  At Core Physicians, we are able to prescribe the oral antiviral medication, Paxlovid, or arrange monoclonal antibody treatments.


Core Physician’s statement on the updated 1/6/22 NH DHHS Isolation and Quarantine Guidelines for COVID-19

Core Physicians supports the new COVID-19 guidelines released by NH DHHS on 1/6/22.  These guidelines advise the general public that anyone infected with COVID-19 may end their isolation after 5 days as long as they have been fever free for 24 hours and their symptoms are improving.  Patients who still have fever or significant symptoms on day 5 should continue to strictly isolate away from others.  We encourage our patients who are infected with COVID-19 to stay home for up to 10 days if they have on-going significant symptoms or fever.  For those who choose to end isolation at 5 days, please be sure to wear a well-fitting mask for an additional 5 full days when around other people.
 
CDC guidelines advise that patients with COVID-19 can choose to perform a rapid antigen test on day 5 of illness.  Core supports this recommendation, but at this time, we do not have the resources to offer this type of additional testing to our patients.  Patients who have access to home tests can choose to perform this testing at home if they desire.
 
If you think you may have COVID-19 and need a test, or you have been exposed to COVID-19 and need a test, please contact your Core PCP for information about getting tested.


Prioritizing the types of appointments available in our primary care and pediatric locations

The community transmission of COVID is the highest we have experienced since the pandemic started. We are also experiencing staffing shortages due to staff redeployment to our Hospital affiliate and due to staff illness. Given our current situation, we have found it necessary to prioritize the type of appointments available in our primary care and pediatric practices and focus primarily on respiratory-type visits and patients who have an urgent need to see a provider.  Virtual visits are also an option when appropriate. Our office may reach out to you to defer a pre-booked appointment you have with us until circumstances improve.

We also know many of you have additional questions about Covid-19, as there are many people who are testing positive.  We hope the information on this page will help.

Please read how to access the right care at the right time
Please read our updated Visitor Policy

Thank you for your continued patience, support, and kindness to our Core Physicians staff.

In addition, the healthcare providers of Core Physicians also recommend:

  1. Getting Vaccinated, including getting a booster, when you are eligible.
  2. Mask use for protection against all variants. Because the community transmission of COVID 19 in New Hampshire remains at a high level please follow the CDC recommendation to wear a mask in public indoor settings, regardless of vaccination status. CDC provides advice about masks for people who want to learn more about what type of mask is right for them depending on their circumstances.  
  3. Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
  4. Stay home and get tested if you have any symptoms of COVID 19. Symptoms of COVID 19 include fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of tastes or smell, sore throat, congestion or runny nose, nausea or vomiting and diarrhea.  If you develop any of these symptoms, follow the CDC’s advice, including getting tested for COVID 19.  You can arrange testing through your primary care provider at an in-person or telemedicine visit.  If you are tested outside of Core or with an at-home test, please call your primary care provider for advice about the results.

COVID-19 Vaccine

The healthcare providers at Core Physicians support the CDC recommendations for COVID-19 vaccines.

Please visit www.vaccines.gov or call 2-1-1 to find a COVID-19 vaccine near you.

General Public
The vaccine schedules for the general public can be found at Stay Up to Date with Your COVID-19 Vaccines | CDC.

People with a compromised immune system
People with a compromised immune system, either due to medical conditions or medications, can find information about whether they should follow a different vaccine schedule at COVID-19 Vaccines for Moderately or Severely Immunocompromised People | CDC.

Individuals over age 50 and people over age 12 with immune compromise
Individuals over age 50 and people over age 12 with immune compromise are also eligible to receive a second vaccine booster.  Find more information at CDC Recommends Additional Boosters for Certain Individuals | CDC Online Newsroom | CDC.

COVID-19 Vaccine Clinic for children 6 months to 5 years of age

New> Core Pediatrics will be holding a COVID-19 vaccine clinic for children 6 months to 5 years of age on Saturday, June 25th at our Epping Health location. As a service to the community, we will be offering vaccine to ALL children in this age group, even if the child does not have a PCP at Core Physicians. Please call 603-693-2100 to schedule your child for a vaccine.

Moderna Vaccine Information Fact Sheet – Individuals 6 Months to 5 Years of Age
Pfizer Vaccine Information Fact Sheet – Individuals 6 Months to 4 Years of Age

When can my child receive the COVID-19 vaccine (ages 5 to 11)?

At this time, Pediatrics is able to offer a limited number of appointments for children 5-11 years old to receive the COVID-19 vaccine during normal office hours.  Please call your PCP’s office to inquire about appointment availability.

Pfizer Vaccine Information Fact Sheet – Individuals 5 to 11 Years of Age

Everyone Ages 5 and Older Should Get a Booster Shot

A Pfizer COVID-19 vaccine booster dose is now recommended for all children 5-11 years of age starting at least 5 months after completion of their primary vaccine series. Please call your child’s PCP office if you’d like to schedule your child for a booster shot at Core. You can also schedule a vaccine for your child at many local pharmacies.

Core Physicians is also offering the Pfizer COVID-19 vaccine booster for Core primary care patients ages 12 and over. Please call your PCP’s office if you’d like to schedule your booster shot. You can also schedule a vaccine at many local pharmacies. Patients must bring their original COVID-19 vaccine card to their booster shot appointment.

Find a Booster Shot Location

Local NH Pharmacies
Visit solvhealth.com/nh/s/new-hampshire-covid-vaccine and search by your zip code. This will bring up a list of pharmacies near you along with info as to how to schedule an appointment.

For Residents of Maine and Massachusetts
Maine residents can go to maine.gov/covid19/vaccines/vaccination-sites for a list of locations offering booster doses. Mass residents can go to vaxfinder.mass.gov for a list of locations offering booster doses, or can call 2-1-1 and follow the prompts.


Update Your Medical Record - Show us your COVID-19 Vaccination Card

If you are a patient of Core Physicians and have not shown us your completed COVID-19 Vaccination Record Card, please do so at your next appointment or by completing this Proof of COVID-19 Vaccination Form. We will then update your medical record with this information.

Links
Answers to frequently asked questions about NH's COVID-19 vaccination process
The Leadership of Core Physicians and Exeter Hospital - Statement Regarding Masking and School Reopening 8/16/21


COVID-19 Testing

If you have a Core Primary Care Physician or Pediatrician, please call the office directly to assist in your testing needs or contact your local pharmacy.

If you do not have a Core Primary Care Physician or Pediatrician, please contact your local pharmacy for assistance.

Charges Associated with COVID-19 Testing

We are currently offering the Abbott BINAXNow rapid test for patients meeting the following criteria: Symptomatic, per CDC guidelines, with symptom onset within past 7 days. You will be triaged through our algorithm to determine if the test that is right for you and your current situation. The rapid test, while quick turn around, does not provide reliable results for asymptomatic or patients with symptoms outside of the 7 day window.

Guidance for Home Testing for COVID-19

If you have any concern that you might have COVID-19, home testing kits can be very helpful.  Interpreting results of home-testing is affected by how common COVID-19 is in the community.  Since COVID-19 is extremely common at this time:
  • If your home test is positive, there is a very high likelihood that you truly have a COVID-19 infection, even if you have mild or no symptoms.  There is no need to repeat the test or take a different test.  Follow this advice for isolation, managing symptoms, and when to call your doctor.
  • If you have symptoms of COVID-19 but your home test is negative, there is a still a chance you could have COVID-19 (false negative).  Many home tests have instructions for repeat testing if you have symptoms but the first test is negative – follow the instructions, isolate from others, and call your Core PCP if you have any questions or worsening symptoms.
If you have tested positive for COVID-19 and you have any risk factors for getting very sick from the infection, call your PCP right away to discuss if any additional treatment is needed.

Changes in Service


COVID-19 Patient Resources

For COVID-19 Positive or Suspected Patients

  • What to do if You Are Sick>  Click Link   Open PDF
  • 10 Ways to Manage Symptoms at Home>   Open PDF
  • CDC - Cleaning & Disinfecting Homes of Suspected or Confirmed Cases of COVID-19>  Click Link
  • Social Distancing, Quarantine, and Isolation>  Click Link
  • What Should I Do If...>  Open PDF
 

Other COVID-19 Recommended Resources

As a reminder, CDC always recommends everyday preventive actions to help prevent the spread of respiratory diseases such as COVID-19, including:
  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.
Links
CDC - COVID-19 Vaccine
CDC -
Handwashing guide
CDC - View Videos on the Coronavirus Disease 2019
CDC - Your Guide to Masks - How to select, properly wear, clean & store masks