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eolson~
I dont know about a telemedic exam, but the OPs that require a Portamed exam goes like this:
You either go to your own PCP for a routine Physical, then fax the results to your OP, or the OP arranges one for you, in that they set up a Portamed exam with a licensed professional, (usually an RN or LPN) in your area. You can either visit them, or have them come to your home or office. Either way, they contact you by phone to set it up. OPs require this exam be done once a year, and they do remind you when you are due for one.
The exam consists of: your blood pressure reading, your pulse reading, your height and your weight.
Usually, there is another form that you fill out yourself in which they ask you to mark down the areas of your body that are painful, and the degree of pain, on a scale of 1-10, 10 being the most severe.
Hope this helps.