Springfield Medical Care Systems Services Update

COVID-19 Resources

At Springfield Medical Care Systems we want to make sure you are getting the care you need.  We have measures in place to ensure your safety when you come in to one of our clinics for care.  We encourage you to keep or make medical, behavioral health, dental and vision appointments for your preventative and follow-up care!  We also offer telemedicine options when appropriate for patients who are unable or uncomfortable coming for an in person exam.  Our walk-in clinics are available to see you for your sudden illnesses and injuries.  Springfield, Rockingham and Mountain Valley Health Centers have Respiratory Clinics with added protections to safely see you with symptoms or risk factors of COVID-19.

Quick links:

VT Vaccine: https://www.healthvermont.gov/covid-19/vaccine/getting-covid-19-vaccine
Phone to register: 855-722-7878
Phone to register if you are homebound: 833-722-0860
Instructions on signing up for the vaccine in VT: How To Get The COVID Vaccine

NH Vaccine: https://www.vaccines.nh.gov/
Phone for screening and registration if you are homebound: call 211

COVID Testing (without symptoms): https://www.healthvermont.gov/covid-19/testing/where-get-tested#where

COVID Testing (with symptoms): Call your primary care provider to have test ordered, or call 802-886-8902

Need Help: 211 can connect you with social services, mental health care, and other resources in VT and NH.

Vaccination Information

At SMCS we encourage all our patients to get the vaccine!

If you need help signing up for the vaccine when your age group or phase is eligible or need assistance getting to or from a vaccine appointment we will be happy to assist you or you are welcome to contact other local organizations who are available to help with this process, such as Valley Health Connections at 802-885-1616 or Neighborhood Connections at 802-824-4343.

In Vermont

Vermont has announced vaccine eligibility for all Vermonters over the age of 16!
To make an appointment by phone please call 855-722-7878 or go online to https://www.healthvermont.gov/covid-19/vaccine/getting-covid-19-vaccine.
You may sign up for an appointment to be vaccinated if you are a Vermont resident. If you live in another state, you can still get a vaccine in Vermont if:

  • you are a college or boarding school student, even if you do not intend to stay in Vermont for the summer or
  • you moved to Vermont within the last 6 months with the intention of becoming a resident or 
  • you work in one of these occupations or settings in Vermont: healthcare personnel, child care worker, work in a school or the public safety system or 
  • you live part of the year in Vermont.

To get information on walk-in appointment availability and call lists for same day extra doses you can check out: https://www.healthvermont.gov/covid-19/vaccine/getting-covid-19-vaccine

To watch a video on how to register for a vaccine online or how to add a dependent to your account go to: https://www.healthvermont.gov/covid-19/vaccine/getting-covid-19-vaccine

Information for specific populations:

Vermonters age 16 and 17 If you are 16 or 17 years old, you will only see appointments for the Pfizer vaccine since that is the only vaccine that is authorized for people age 16 and 17.
For the state appointment system and appointments made through CVS, your parent or guardian will need to review the consent forms and check the box giving their consent for you to get the vaccine. Your parent or guardian does not need to go with you to your appointment.
Walgreens requires a parent or guardian to be present and give consent at the appointment.

BIPOC Vermonters and their households All Vermonters who identify as Black, Indigenous, or a person of color older than 16 and their household members may use the following codes to allow BIPOC registration on-line registration:
FQHCVP98 – For age 18 and older
FQHCVP1617 – For age 16-17 (Pfizer only)
The BIPOC household focused clinics led by the Windham County NAACP in Brattleboro will continue for eligible BIPOC members and their households who would prefer to receive their COVID-19 vaccine at a clinic that is dedicated to this community. To sign up for a BIPOC household focused clinic in the Brattleboro area, please fill out the Brattleboro BIPOC COVID Vaccination form created and administered by the Windham County NAACP. https://docs.google.com/forms/d/e/1FAIpQLSdUqsRyNi7AvHxoEoCsmynw8ZNZj3pBy2KXtbqKA0_VX8Euhg/viewform
If you prefer to schedule your appointment by phone, you can contact Wichie Artu, Vice President of the NAACP of Windham County, at vicepresident@windhamnaacp.org or 802-297-7832.
Note: Due to the vaccine type, you must be at least 18 years old to be vaccinated at this Brattleboro clinic. 

Homebound Vermonters All homebound Vermonters who have not had a vaccine can call 833-722-0860 Monday through Friday 8:30 a.m. – 4:30 p.m. to find out if they are eligible to have the vaccine brought to them.

Vermonters who are English language learners and people in immigrant/refugee communities There are community-specific clinics for people who are English language learners or immigrant/refugee community members. If you are age 16 or older, you can choose to register for one of these clinics. Please call the Association of Africans Living in Vermont (AALV) at 802-985-3106 or the U.S. Committee for Refugees and Immigrants of Vermont (USCRI VT) at 802-655-1963 to register. You can also make an appointment for yourself only by calling 855-722-7878, press 1 if you need interpretation services.

Information about the vaccine can be found at: https://www.healthvermont.gov/sites/default/files/documents/pdf/COVID19-Vaccine-FAQ-Handout.pdf

In New Hampshire

In NH everyone over the age of 16 (regardless of residency) is now eligible to register for COVID Vaccination!

Patients 16 & 17 years old must receive Pfizer and must be accompanied by a parent or guardian at the time of vaccination.  Pfizer is available in NH at:

  • All state-managed fixed sites and Walgreens locations
  • North Country Healthcare (Littleton)
  • Littleton Regional Healthcare (Littleton)
  • Huggins Hospital (Wolfeboro)
  • Memorial Hospital (North Conway)
  • Lakes Region General Hospital (Laconia)

You can get more information and follow the prompts by going to https://www.vaccines.nh.gov/

ADDITIONAL INFORMATION

Some Walgreens, Kinney Drugs, and CVS locations are also participating in vaccine distribution.  They are following the eligibility guidance for each state.  You can find a location and register at: https://www.walgreens.com/findcare/vaccination/covid-19?ban=covid_vaccine_landing_schedule
https://secure.kinneydrugs.com/pharmacy/covid-19/vaccination-scheduling/vt/https://www.cvs.com/immunizations/covid-19-vaccine?icid=cvs-home-hero1-link2-coronavirus-vaccine

Walmart, Hannaford, Price Chopper, Shaws, Rite Aid and Cosco vaccination sites in VT can be found as options through the Department of Health vaccine registration site: https://www.healthvermont.gov/covid-19/vaccine/getting-covid-19-vaccine.

Remember that you must keep your appointment for your first and second dose of vaccine.  We do not want to waste any doses!

Although severe allergic reactions (such as anaphylaxis) are very rare you may experience redness, soreness and swelling at the injection site, fever, headache, nausea and body aches after receiving the vaccine.  These side effects are even more common and may be more severe after the second dose so plan for this possibility.  Most symptoms subside within 48 hours.

There have been rare cases (7 in a million) of blood clots and low platelets associated with the Johnson and Johnson Vaccine (Thrombosis and Thrombocytopenia Syndrome (TTS)).  Most of these cases have been in women under the age of 50 and symptoms started 6-15 days after vaccination.  After receiving the J&J vaccine people should seek medical attention if they develop severe and persistent headaches or blurred vision, chest pain, shortness of breath, leg swelling, persistent abdominal pain, bruising or tiny blood spots under the skin in areas other than the injections site.  More information can be found at:  https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/jjupdate.html

After being vaccinated you will still be required to wear a mask, wash your hands frequently and physically distance.  Quarantine after exposure or travel is no longer required for those two weeks post vaccination. If you develop COVID symptoms quarantine is still required and testing is encouraged. Once a large percentage of the population is vaccinated, then we may see a return to what we think of as normalcy.

COVID-19 Testing

All testing done is done using a PCR test.  We use anterior nasal swabs.  In some cases you may be observed and instructed to do your own test if you are able.

Asymptomatic Testing at Springfield Health Center sent to State of Vermont COVID-19 CIC Testing Lab.
Schedule appointments at https://vermont.force.com/events/s/selfregistration.

Tests are run at the Broad Institute in Cambridge, MA and results are communicated directly to the patient via e-mail or phone within 72 hours, depending on the volume of tests being run.  The results do not come to the clinic or your primary care provider so if you do test positive please call your primary care office and let us know.

For help or technical assistance: Please call the Vermont Department of Health COVID-19 Call Center at 802-863-7240.

Symptomatic Testing at Springfield Health Center is sent to Springfield Hospital/RRMC Lab.
Please call 802-886-8902 to schedule an appointment for symptomatic testing.
Physician Orders need to be faxed to 802-886-8947 prior to arriving for a test.
Testing may also be done while being seen at our Respiratory Clinics at Springfield Health Center, Rockingham Health Center, or Mountain Valley Health Center.
Tests are run at Rutland Regional Medical Center via Springfield Hospital Lab and results are sent to the ordering provider within 72 hours. Please call if you have not received your results in 5 days.

General COVID-19 Information

The 3 most important things you can do to slow the spread of the virus are wear a mask properly over your nose and mouth when you are around others you do not live with, stay 6 feet away from others and wash your hands frequently with soap and water for 20 seconds or use hand sanitizer with at least 60% alcohol.

https://www.cdc.gov/coronavirus/2019-ncov/your-health/need-to-know.html

The symptoms of COVID-19 may include: Fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea.

If you have any symptoms of COVID -19 we encourage you to call your primary care office to discuss if you need to be:

  • tested and remain home (we are doing some testing at RHC, SHC & MVHC)
  • seen via telemedicine,
  • seen in one of our Respiratory Clinics (where we can also test you), or
  • in the case of severe symptoms seen in the Emergency Department

When to seek emergency care:

Call 9-1-1 and seek emergency care if you are experiencing

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion or lethargy
  • Bluish lips or face

When should you be tested:

  • Any COVID -19 Symptoms – even mild

Guidelines for those who have not been vaccinated in VT:

  • Within 3 days of returning from travel outside of VT
  • The Health Department recommends testing as soon as possible when:
    • you have symptoms of COVID-19 (call your health care provider first)
    • you are referred by your health care provider
    • you are unvaccinated and a person in your workplace or household, or a person you attended an event with, tests positive for COVID-19
    • You are unvaccinated and you gather with multiple households at a time or attend an event. You should get tested as soon as 2 days after the gathering, and again 7 days after the gathering.

Guidelines for those who do not have symptoms but should get tested in NH:

  • Those who are unvaccinated and have been in close contact with someone who has or is suspected to have COVID-19
  • Anyone who has traveled from a country with widespread transmission of COVID-19 should get tested and quarantine for 10 days from the last potential exposure. (see link to travel guidance below)

When to Quarantine:

Quarantine means staying home and away from other people (this includes not going to the grocery store, work, school etc. and not having visitors in your home).  If you need to seek medical care, call ahead so you can receive the care you need in the most appropriate setting.

Vaccinated individuals no longer need to quarantine for contact with a COVID positive individual or travel.

For VT Quarantine guidelines see: https://www.healthvermont.gov/covid-19/travel-quarantine
For NH Quarantine guidelines see: https://www.dhhs.nh.gov/dphs/cdcs/covid19/documents/employee-travel-guidance.pdf

When to Isolate:

Isolation is for people who have tested positive for COVID-19.  Isolation means you stay home and avoid contact with other household members so as not to spread the virus.  If at all possible, you should isolate in a separate room and use a separate bathroom (if not possible – disinfect all touched surfaces after each use).

The minimum isolation period for a person who tests positive is 10 days.  To end isolation the following must be met:

If you had symptoms, you can leave home and be with others after these three things have happened (unless otherwise instructed by your health care provider):

  • you have had no fever for at least 24 hours without the use of medicine that reduces fevers AND
  • other symptoms have improved (for example, when your cough or shortness of breath have improved) AND
  • at least 10 days have passed since your symptoms first appeared

If you did not have any symptoms, you can leave home and be with others after:

  • 10 days have passed since the date you had your positive test (unless otherwise instructed by your health care provider).

It is best to refrain from vigorous exercise for 14 days after you are diagnosed if you have no symptoms or 14 days after your symptoms have resolved.

What to do if you have COVID-19?

https://www.cdc.gov/coronavirus/2019-ncov/downloads/10Things.pdf

What to do if you are caring for someone with COVID-19:

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/care-for-someone.html

What to do if you are a parent or caregiver who is COVID-19 positive:

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/parents-caregivers.html