A recurrence now
An episodic antiviral course treats an outbreak after a prior diagnosis. Describe when tingling or sores started. Treatment works best when started early, but review and pharmacy timing vary.
Private care. Previously diagnosed adults 18+.
Medication costs extra. No insurance billing by Bidwell.
Yes. Adults 18 and older who are physically in Virginia and have a prior genital herpes diagnosis can request a private $45 online visit. A licensed clinician reviews your history, can message for more information and prescribes only when appropriate; medication is paid separately at your chosen pharmacy.
Reviewed 7 days a week, including weekends; timing varies.
First outbreak or unsure? Get an in-person examination and appropriate testing.
Personal care, on your terms
Discuss an established diagnosis in writing with a licensed clinician. No genital photos. No scheduled video call. No waiting-room conversation for this online visit.
Use a private email account and read your clinician's questions and instructions in the patient portal. Keep visit links to yourself.
Choose where an appropriate prescription is sent. Ask that pharmacy about shared accounts, insurance claims, pickup alerts and delivery packaging.
Bidwell does not sell your personal or health information or share it with advertisers. Care creates a medical record, with access and disclosures described in the privacy policy.
Use your accurate identity for medical care. Bidwell does not bill insurance for the visit; the pharmacy handles medication billing and its own notifications and packaging.
These are Bidwell's service limits. Your clinician makes the final treatment decision. An existing diagnosis does not mean every new genital symptom is herpes.
Care decisions in Virginia
Virginia patients can compare a private recurrent-treatment visit with local examination and testing options. Start with the problem you need solved: treating a familiar diagnosed outbreak is different from identifying a new sore, checking a possible exposure or arranging STI screening.
The Virginia Department of Health testing page helps locate HIV, STI and hepatitis services. Contact the selected provider about your symptoms before making an appointment. Ask specifically whether it can assess a genital lesion and arrange herpes testing if needed. Availability, fees and testing menus vary. A known herpes diagnosis does not rule out another cause for a new symptom or remove the need for other STI testing after an exposure.
For an established diagnosis, explain your symptoms, treatment history and goals in the clinical intake. Your clinician can ask follow-up questions without scheduling a video visit. No genital photo is required. Give complete medical information even when a topic feels personal; it helps the clinician decide safely. Do not use a nickname or someone else's account to request a prescription. The visit creates a medical record with your accurate identity.
Bidwell's privacy policy includes information for Virginia residents and explains how clinical records, support access and required disclosures are handled. The visit is cash-pay and Bidwell does not bill insurance. Your pharmacy separately handles its account access, claims and prescription alerts. If you use a shared device or household pharmacy account, review those settings rather than assuming that paying the visit fee privately makes every other part of care invisible.
If you commute or travel, use the state where you are physically located during care and tell the clinician about changes while the visit is underway. A Virginia address does not create service availability in Washington, DC. For recurrence treatment, pick a pharmacy you can reach after the review and wait for its pickup confirmation. If symptoms become severe or you cannot pass urine, seek in-person care rather than waiting for a message.
Local resource: Virginia Department of Health: HIV, STI and hepatitis testing
Confirm current services, appointments and testing with the clinic. A resource listing is not a promise that herpes testing is available.
Reviewed 7 days a week, including weekends; timing varies. No required subscription.
Bidwell may prescribe oral valacyclovir or acyclovir when appropriate. Valacyclovir is the generic medicine for Valtrex. We do not offer famciclovir through this visit. The medicine, dose and duration depend on your assessment.
Genital herpes can be caused by HSV-1 or HSV-2. Genital HSV-1 generally recurs less often; daily treatment is usually reserved for frequent recurrences after discussion. Antivirals manage herpes but do not cure it.
More about outbreak care · Daily suppressive therapy · Compare the two medicines
The visit includes clinician assessment, an appropriate prescription when indicated and 21 days of clinical follow-up messaging under the visit terms. There is no required subscription, and Bidwell does not bill insurance.
The pharmacy price depends on the prescribed medicine, strength, quantity and the pharmacy's cash price or your coverage. Ask for the price of the actual prescription before it is filled.
If the clinician determines that your condition cannot be treated safely online, your visit fee is refunded. A refund is based on suitability for online care, not a promise of a prescription.
Authorized pharmacy refills do not require another visit. When a new prescription or further clinical care is needed, a new $45 visit is required. Read the herpes treatment cost guide.
| Care option | Useful for | What to check |
|---|---|---|
| Bidwell online visit | A prior diagnosis with an eligible recurrence or daily-treatment request. | $45 visit, medicine extra. No first-outbreak diagnosis or STI testing. |
| Primary care or sexual-health clinic | A first sore, uncertain diagnosis, testing, examination or ongoing care. | Ask about symptomatic appointments, HSV testing, fees and insurance. |
| Urgent care | Symptoms needing a prompt examination when your usual clinician is unavailable. | Confirm services and hours. Emergency symptoms need emergency care. |
| Another online service | A different remote-care format or a service outside Bidwell's scope. | Compare clinical eligibility, testing arrangements, video requirements, subscriptions and total cost. |
A new genital sore can have more than one cause. Herpes, syphilis, irritation, an injury and other skin conditions can overlap in appearance. A sore that hurts, does not hurt or resembles an online image cannot establish the diagnosis. New, persistent or different symptoms need an examination and appropriate testing.
A clinician may swab an active sore for HSV testing. Blood tests have limitations and can produce false-positive results; routine STI screening does not necessarily include herpes. Ask which test is appropriate for your symptoms. Bidwell does not perform STI testing or diagnose first outbreaks.
Emergency care now: confusion, new weakness, or severe headache with a stiff neck, especially with fever. Call 911 if you cannot get there safely.
Urgent same-day assessment: eye pain, eye redness with light sensitivity or vision changes, sores near the eye, trouble passing urine, inability to urinate, severe pain, widespread sores or fever with severe illness.
For pregnancy, possible pregnancy, trying to conceive or breastfeeding, use your obstetric or in-person clinician. Tell them promptly about new genital symptoms. Kidney disease, significant immune suppression and antiviral allergy also require care outside this service.
Herpes can spread even when no sore is visible. Avoid sexual contact during sores or warning symptoms, discuss the diagnosis with partners, and use condoms to reduce risk. Condoms and antiviral treatment do not eliminate transmission.
Daily valacyclovir has evidence for reducing HSV-2 transmission in heterosexual couples where one partner has symptomatic genital HSV-2 and the other does not. Do not assume the same evidence applies to acyclovir or genital HSV-1. Your clinician can discuss what is known for your situation.
A partner with symptoms needs their own assessment. Do not share your prescription or use treatment as a substitute for testing after a new exposure. A herpes diagnosis does not establish when an infection was acquired.
Yes. Adults 18 and older who are physically in Virginia and have a prior genital herpes diagnosis can request a private $45 online visit. A licensed clinician reviews your history, can message for more information and prescribes only when appropriate; medication is paid separately at your chosen pharmacy.
No. Genital photos and a scheduled video call are not required for this service. A prior diagnosis is required, and a clinician must have enough information to decide whether online treatment is appropriate.
You can request treatment with valacyclovir, the generic medicine for Valtrex, or acyclovir. The clinician decides which medicine, dose and course are appropriate. A particular medicine or prescription is not guaranteed.
Yes, adults with a prior diagnosis can request a daily suppressive-treatment assessment even without an active sore. Tell the clinician your outbreak frequency, medical history and treatment goals. Daily treatment does not cure herpes or eliminate transmission risk.
No. A first possible outbreak, an uncertain diagnosis or testing needs require in-person evaluation. Even with a prior diagnosis, a new or different genital symptom may have another cause.
Visits are reviewed 7 days a week, including weekends; timing varies. The clinician may need more information. Pharmacy processing is separate, and same-day medication is not guaranteed.
If the clinician determines that your condition cannot be treated safely online, your visit fee is refunded. The clinician may recommend in-person care. This is not a guarantee of a prescription.
No. Bidwell keeps a medical record and uses your accurate identity for care. The visit is cash-pay with no insurance billing by Bidwell. Pharmacy records, payment notices and any pharmacy insurance claims are separate. The privacy policy explains access and required disclosures.
Browse all eleven state guides. Choose the state where you are physically located during care.
Sources checked October 26, 2026.
Request clinician review for an established genital herpes diagnosis, from a place that works for you.
Start my private visit $45$45 visit. Medication separate. Treatment only when appropriate.