Tick bite evaluation online

A licensed clinician reviews the tick, how long it was attached, where you were bitten, and your symptoms — then advises watchful waiting, testing, or treatment based on what your situation actually calls for.

Insurance and self-pay options available.

Most tick bites do not need antibiotics, and single-dose prophylaxis only fits a narrow set of circumstances. Nothing is prescribed automatically, and Lyme testing is often unhelpful in the first weeks.

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Lyme disease evaluation
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Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed

What may need in-person care

  • An expanding rash with fever, severe headache, or a stiff neck.
  • Facial droop, joint swelling, palpitations, or fainting.
  • A tick head or mouthparts that cannot be removed.
  • A spreading, painful, or pus-filled bite site.

About Lyme disease evaluation

A Lyme disease evaluation reviews exposure (tick bite, time in endemic area), symptoms, and rash pattern. Erythema migrans in an endemic-area patient is sufficient for clinical diagnosis without serology and is treated with doxycycline for 10–14 days (amoxicillin or cefuroxime in pregnancy or pediatrics). Later disseminated disease — facial palsy, carditis, meningitis, arthritis — requires two-tier serologic testing and longer courses, with IV ceftriaxone for cardiac or neurologic involvement. Single-dose doxycycline prophylaxis is appropriate for selected high-risk tick bites within 72 hours.

Also useful: Lab orders

Common questions