COVID-19 Information


COVID-19 Testing Site

Willow Valley Medical Clinic
47 North 1st East
Preston, ID 83263

For emergency care go directly to the ER.

If you experience symptoms, get tested as soon as possible

If you develop symptoms such as fever, cough, and shortness of breath, and have been in close contact with a person known to have COVID-19 or have recently traveled from an area with the ongoing spread of COVID-19, stay home and call 208-852-2900 for proper screening procedures.

Three types of test options

1. Nurse Visit Test is for those who need to come in and get tested, no physician visit, no fuss. Choose from a rapid QuickVue or rapid Sofia test(results in 15 minutes), a PCR nasal swab (results in 1-2 days), or a Saliva test (results in 2-3 days).
Call 208-852-2900 ahead for availability.

2. Physician Visit Test is for those experiencing fevers, shortness of breath, or other severe symptoms and need to talk to a physician to get tested and discuss options to treat their symptoms or other complications if they test positive.
Call 208-852-2900 to schedule an appointment.

3. No Visit or “do it yourself” Testing Kits are available to anyone in the community. No appointment is necessary. 

If you are experiencing COVID-19 symptoms or have a known exposure, please do not come into the clinic. Pull up to the COVID testing center (located in the Willow Valley parking lot) and request a free, at-home test.

If you do not have any symptoms or known exposure, you can come into the clinic to request a free, at-home test.

Take the test home and follow the directions provided with the kit and get results within 10 minutes.

If you test positive with the at-home test, we recommend that you take a photo of the results if you need proof of testing positive for work or school. If they require an official note, you will need to schedule a nurse or doctor visit to receive documentation. Please call 208-852-2900 if you have questions or to schedule an appointment with a primary care physician.

Insurance Coverage For COVID-19 Testing & Treatment:

FCMC will bill your insurance for all COVID-19 related screening, testing, and treatment if you have health insurance. Many insurances cover these charges at 100% with no cost share to patients.

However, some insurances may require copays, deductibles, or coinsurance amounts, and we are contractually and legally responsible for collecting these copayments. It is the patient’s responsibility to know their insurance benefits and contact their insurance provider if they have questions about their benefits. 

No Health Insurance? No Worries! You Can Get Free COVID-19 Testing and Treatment:

FCMC is now participating with Health Resources & Services Administration (HRSA) to provide qualifying COVID-19 testing and treatment services with primary COVID-19 diagnosis at no cost for uninsured patients, no matter their immigration status. HRSA is a federal uninsured program that pays for COVID-19 related services provided to anyone without health insurance.

FCMC will ask for a Social Security Number and government ID to verify identity and confirm patients do not have insurance to get paid by the uninsured program. Patients who cannot provide a Social Security Number or government ID will still be tested and treated for COVID-19. 

For more information, please go to


Vaccination Location

Willow Valley Medical Clinic
47 North 1st East
Preston, ID 83263

Willow Valley Medical Clinic has Pfizer & Moderna vaccine options available. No appointments are needed to get vaccinated, including the booster doses.

Walk-ins are welcome during regular business hours: Monday – Friday, from 8 am – 5 pm. Unfortunately at this time, we do not have the staff to accommodate walk-ins during Urgent Care Hours.

Vaccine + Booster Options

  • 5 + yrs old, 2 dose primary series. 21 days (3 weeks) between doses. > 12 yrs old with *immunocompromising conditions recommended to receive a 3rd dose 28 days (4 weeks) following 2nd dose.
  • 18 – 64 yrs old who live in long-term care settings, who have *underlying medical conditions, who live or work in high-risk settings.
  • 12 + yrs old, booster dose. 5 months following the initial series.
  • Teens 12-17 years old can only get a Pfizer-BioNTech COVID-19 vaccine booster.
  • For adults 18 years and older, a booster dose of either Pfizer-BioNTech or Moderna (mRNA COVID-19 vaccines) is preferred in most situations.
  • 18+yrs old, 2 dose primary series. 28 days (4 weeks) between doses.
  • People ages 18 years and older who received a Moderna primary series should get a booster shot at least 5 months after completing their primary series.
  • A booster dose of either Pfizer-BioNTech or Moderna (mRNA COVID-19 vaccines) is recommended in most situations.
  • 18+ yrs old, 1 dose primary series.
  • 18+ yrs old, booster recommended 2 months following the initial dose.
  • Pfizer or Moderna are recommended for booster shots.
  • First responders
    (healthcare workers, firefighters, police, congregate care staff)
  • Education staff
    (teachers, support staff, daycare workers)
  • Food and agriculture workers
  • Manufactureing workers
  • Corrections workers
  • US Postal Service workers
  • Public transit workers
  • Grocery store workers
  • Been receiving active cancer treatment for tumors or cancers of the blood.
  • Received an organ transplant and are taking medicine to suppress the immune system.
  • Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system.
  • Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome).
  • Advanced or untreated HIV infection.
  • Active treatment with high-dose corticosteroids or other drugs that may suppress the immune response.
  • Individuals should talk to their healthcare provider about their medical condition, and whether getting an additional dose is appropriate for them.
  • Cancer
  • Chronic kidney disease
  • Chronic liver disease
  • Chronic lung diseases
    (moderate-severe asthma, bronchiectasis, bronchopulmonary dysplasia, COPD, damaged or scarred lung tissue such as interstitial lung disease *including idiopathic pulmonary fibrosis*, cystic fibrosis with or without lung or other solid organ transplants, pulmonary embolism, pulmonary hypertension)
  • Dementia or other neurological conditions
  • Diabetes
    (type 1 or type 2)
  • Down syndrome
  • Heart conditions
    (heart failure, coronary artery disease, cardiomyopathies, and possibly high blood pressure)
  • HIV infection
  • Immunocompromised state
  • Mental health conditions
    (mood disorders including depression and schizophrenia spectrum disorders)
  • Overweight and obesity
  • Pregnancy
  • Sickle cell disease or thalassemia
  • Smoking, current or former
  • Solid organ or blood stem cell transplant
  • Stroke or cerebrovascular disease
  • Substance use disorders
  • Tuberculosis


Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases. A novel coronavirus (nCoV) is a new strain that has not been previously identified in humans.

COVID-19 is caused by infection with a new coronavirus (called SARS-CoV-2), and seems to spread more easily than flu, and causes more serious illnesses in some people. It can also take longer before people show symptoms and people can be contagious for longer. Because some of the symptoms of flu and COVID-19 are similar, it may be hard to tell the difference between them based on symptoms alone, and testing may be needed to help confirm a diagnosis.

  • 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
  • Diarrhea

Get Vaccinated

  • Authorized COVID-19 vaccines can help protect you.
  • Vaccines continue to reduce a person’s risk of contracting the virus that causes COVID-19, including this variant.
  • Vaccines continue to be highly effective at preventing hospitalization and death, including against this variant.
  • Fully vaccinated people with breakthrough infections from this variant appear to be infectious for a shorter period.
  • Get vaccinated and wear masks indoors in public spaces to reduce the spread of this variant.

Wear a mask

  • If you are not fully vaccinated and aged 2 or older, you should wear a mask in indoor public places. 
  • In general, you do not need to wear a mask in outdoor settings.
    • Unless you are in a crowded area and for activities with close contact with others. 
  • People who have a weakened immune system.
  • If you are fully vaccinated, in areas of substantial or high transmission.

Avoid crowds & poorly ventilated spaces

  • Being in crowds like in restaurants, bars, fitness centers, or movie theaters puts you at higher risk for COVID-19.
  • Avoid indoor spaces that do not offer fresh air from the outdoors as much as possible.
  • If indoors, bring in fresh air by opening windows and doors, if possible.

Wash your hands often

  • 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.
  • It’s especially important to wash:
    • Before eating or preparing food
    • Before touching your face
    • After using the restroom
    • After leaving a public place
    • After blowing your nose, coughing, or sneezing
    • After handling your mask
    • After changing a diaper
    • After caring for someone sick
    • After touching animals or pets
  • Avoid touching your eyes, nose, and mouth with unwashed hands.

Use hand sanitizer when you can not wash your hands.

  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.

Cover your coughs and sneezes
If you are wearing a mask: You can cough or sneeze into your mask. Put on a new, clean mask as soon as possible and wash your hands.

  • If you are not wearing a mask:
    • Always cover your mouth and nose with a tissue when you cough or sneeze, or use the inside of your elbow and do not spit.
    • Throw used tissues in the trash.
  • Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.

Clean and disinfect your home and office

  • Clean high-touch surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.

Monitor your health for symptoms

  • Watch for fever, cough, shortness of breath, or other symptoms.
  • Take your temperature if symptoms develop.

COVID-19 spreads when an infected person breathes out droplets and very small particles that contain the virus. These droplets and particles can be breathed in by other people or land on their eyes, noses, or mouth. In some circumstances, they may contaminate surfaces they touch. People who are closer than 6 feet from the infected person are most likely to get infected.

COVID-19 is spread in three main ways:

  • Breathing in air when close to an infected person who is exhaling small droplets and particles that contain the virus.
  • Having these small droplets and particles that contain virus land on the eyes, nose, or mouth, especially through splashes and sprays like a cough or sneeze.
  • Touching eyes, nose, or mouth with hands that have the virus on them.


Masks are required in our facilities, whether you are a patient or visiting a loved one. You will also be screened upon arrival and we ask that you follow preventative protocols to keep from contracting and possibly spreading illness. We work safely to keep our staff and guests safe and your cooperation is greatly appreciated.

If you are sick and need testing, please call ahead and let our staff know. They will provide directions for you to follow upon arrival.

Mask- it’s the new four-letter word for some. While they are a bit of a nuisance, they can help reduce the spread of COVID-19 (and other illnesses) when used correctly.

For those concerned about masks and a little more about how they work: Cloth and surgical masks do not fit tightly across the face, so CO2 can escape into the air through the mask when you breathe out or talk. CO2 molecules are small enough to pass easily through mask material. However, the respiratory droplets that carry the virus that causes COVID-19 are much larger than CO2, so they cannot pass as easily through a properly designed and properly worn mask

1. WHAT kind of mask (or alternative face covering):
  • Have two or more layers of washable, breathable fabric. You can opt for a gaiter or something similar with layers, or folded to create layers.
  • Completely cover your nose and mouth.
  • Fit snugly against the sides of your face and don’t have gaps.
  • Have a nose wire to prevent air from leaking out of the top of the mask.
2. WHO, WHEN & WHERE should wear them:
  • If you are not fully vaccinated and aged two or older, you should wear a mask in indoor public places.
  • If you have a condition or are taking medications that weaken your immune system may not be fully protected even if you are fully vaccinated and should wear a mask until advised otherwise by your primary care provider.
  • As we have seen, even if you are fully vaccinated, you can still spread the virus to others. If you are in an area with high numbers, take more precautions and wear a mask indoors in public.
  • Vaccinated or not, please follow the guidance at your workplace and local businesses.
  • In general, you do not need to wear a mask in outdoor settings. That being said, you might want to wear a mask in crowded outdoor settings and for activities with close contact with others, especially in areas with high numbers of COVID-19 cases.
3. HOW to properly wear them:
  • Before putting it on, make sure to wash your hands with an alcohol-based hand rub or soap and water.
  • While wearing a mask, make sure it covers your mouth and nose. Make sure there are no gaps between your face and the mask. Avoid touching the mask. If you do, clean your hands with an alcohol-based hand rub or soap and water. Replace the mask with a new one as soon as it is damp. Do not re-use single-use masks. If you need to take it off to eat or drink, make sure it is properly stored with the exterior (outside) face down on a paper towel or something to keep it off the table/surface. Wash your hands before you take it off and after putting it back on.
  • Removing a mask by using the strings and avoid touching the front of the mask. If it is a single-use, throw it away. If reusable, store it in a bag until you can wash it. Reusable masks should be cleaned whenever they get dirty or at least daily. Clean hands with alcohol-based hand rub or soap and water.

The Delta variant causes more infections and spreads faster than earlier forms of the virus that causes COVID-19. It might cause more severe illness than previous strains in unvaccinated people. Vaccines are highly effective against severe illness, but the Delta variant causes more infections and spreads faster than earlier forms of the virus that causes COVID-19. 

  • Vaccines continue to reduce a person’s risk of contracting the virus that causes COVID-19, including this variant.
  • Vaccines continue to be highly effective at preventing hospitalization and death, including against this variant.
  • Fully vaccinated people with breakthrough infections from this variant appear to be infectious for a shorter period.
  • Get vaccinated and wear masks indoors in public spaces to reduce the spread of this variant.

Doctor’s Note | Dr. Avery Jeffers

The Delta variant has surpassed the Alpha variant as the dominant pathogen in the United States. Our vaccines were created against the Alpha variant and showed excellent efficacy. The numbers for the Delta Variant are not as well established, and the studies that have been performed are generally real-world studies which make it harder to control. 

From what we have seen, the Pfizer vaccine is about 80% effective, give or take 5%, depending on the study. However, that is not the whole story. The vaccines remain very good at preventing hospitalization and death. 

Multiple reports from the CDC and various health departments indicate hospitalizations among COVID infected patients are composed overwhelmingly of unvaccinated patients. 99% of covid deaths are amongst unvaccinated patients. Unvaccinated persons in the US represent less than 50% of the population. 

Vaccinations still work, but they do not work as well against variants. It is still possible to contract covid, especially the Delta variant, but it is doubtful that the disease process will be severe. Furthermore, the reason we have variants is the unchecked transmission among the unvaccinated. We believe the Delta variant started in India’s recent outbreak, which saw millions of people infected. Viral replication is not precision engineering; its mass production aims to create trillions of copies as fast as possible. Genomic errors will occur, some will be inviable, and some will be capable of out-competing the dominant strain. Vaccinations massively impede viral replication and the possibility of a new variant and unequivocally decrease the likelihood of death from COVID.

Boosters have been approved for all COVID-19 vaccine options. You can read more in the “Vaccine + Booster Option” drop down.

There is no universal answer for this.

Everyone is different from how severe their symptoms are to how they react to the vaccine. What works for one person is not guaranteed to work for you. Talk to your trusted primary care physician to discuss your options. They know the most about you, your health, and your health history to give you the best information that is best for you.

Who Should NOT Get Vaccinated

  • If you have had a severe allergic reaction (anaphylaxis) or an immediate allergic reaction, even if it was not severe, to any ingredient in an mRNA COVID-19 vaccine (such as polyethylene glycol), you should not get either of the mRNA COVID-19 vaccines.
  • If you had a severe or immediate allergic reaction after getting the first dose of an mRNA COVID-19 vaccine, you should not get a second dose of either of the mRNA COVID-19 vaccines.
  • A severe allergic reaction is one that needs to be treated with epinephrine or EpiPen or with medical care. 
  • An immediate allergic reaction means a reaction within 4 hours of exposure, including symptoms such as hives, swelling, or wheezing (respiratory distress)

Adverse Effects as reported by CDC:

Anaphylaxis after COVID-19 vaccination is rare and has occurred in approximately 2 to 5 people per million vaccinated in the United States. Severe allergic reactions, including anaphylaxis, can occur after any vaccination. If this occurs, vaccination providers can effectively and immediately treat the reaction. Learn more about COVID-19 vaccines and allergic reactions, including anaphylaxis.

Thrombosis with thrombocytopenia syndrome (TTS) after Johnson & Johnson’s Janssen (J&J/Janssen) COVID-19 vaccination is rare. As of July 6, 2021, more than 12.6 million doses of the J&J/Janssen COVID-19 Vaccine have been given in the United States. CDC and FDA identified 38 confirmed reports of people who got the J&J/Janssen COVID-19 Vaccine and later developed TTS. Women younger than 50 years old especially should be aware of the rare but increased risk of this adverse event. There are other COVID-19 vaccine options available for which this risk has not been seen. 

To date, two confirmed cases of TTS following mRNA COVID-19 vaccination (Moderna) have been reported to VAERS after more than 318 million doses of mRNA COVID-19 vaccines administered in the United States. Based on available data, there is not an increased risk for TTS after mRNA COVID-19 vaccination.

Myocarditis and pericarditis after COVID-19 vaccination are rare. As of July 6, 2021, VAERS has received 971 reports of myocarditis or pericarditis among people ages 30 and younger who received COVID-19 vaccine. Most cases have been reported after mRNA COVID-19 vaccination (Pfizer-BioNTech or Moderna), particularly in male adolescents and young adults. Through follow-up, including medical record reviews, CDC and FDA have confirmed 594 reports of myocarditis or pericarditis. CDC and its partners are investigating these reports to assess whether there is a relationship to COVID-19 vaccination.

Reports of death after COVID-19 vaccination are rare. More than 331 million doses of COVID-19 vaccines were administered in the United States from December 14, 2020, through July 6, 2021. During this time, VAERS received 5,946 reports of death (0.0018%) among people who received a COVID-19 vaccine. FDA requires healthcare providers to report any death after COVID-19 vaccination to VAERS, even if it’s unclear whether the vaccine was the cause. Reports of adverse events to VAERS following vaccination, including deaths, do not necessarily mean that a vaccine caused a health problem. A review of available clinical information, including death certificates, autopsy, and medical records, has not established a causal link to COVID-19 vaccines. However, recent reports indicate a plausible causal relationship between the J&J/Janssen COVID-19 Vaccine and TTS, a rare and serious adverse event—blood clots with low platelets—which has caused deaths.

Monoclonal Antibody Therapeutics may be an option for you.

Talk to your trusted primary care physician to find out if this treatment is best for you.

  • This FDA-authorized treatment can help boost immune response, keeping the high-risk (Chronic conditions include heart disease, lung disease, obesity, diabetes, sickle cell anemia, etc.) individuals out of the hospital. 
  • Monoclonal antibodies are laboratory-made proteins that mimic the immune system’s ability to fight off antigens, such as the COVID-19 virus. 
  • These treatments have been proven to reduce the need for hospitalization by 70%. 
  • This treatment is more effective within the first week of infection. So, if your test comes back positive, you can coordinate with your physician to schedule this outpatient IV infusion.

Stay at home and take care of yourself

  • If you test positive, you and your household should stay home for ten days from the onset of symptoms. Make sure you rest!
  • Drink plenty of fluids to replace those you have lost from fever. Fluids also help ease a scratchy throat. Water, soup, fruit juice, and hot tea with lemon are good options.
  • Take acetaminophen (such as Tylenol) to reduce fever and muscle aches. Read and follow all instructions on the label.
  • Sponge your body with lukewarm water to reduce a fever– don’t use cold water or ice.
  • Use petroleum jelly on sore skin, specifically around the nose and mouth.
  • Stay away from others as much as possible. If you must be around people, wear a cloth face cover and stay 6 feet away from others.
  • Avoid contact with pets and other animals.
  • Cover your mouth and nose when you cough or sneeze and wash your hands well afterward. Use soap and water and scrub for at least 20 seconds. If soap and water aren’t available, use an alcohol-based hand sanitizer.

If you experience more severe symptoms like:

  • moderate trouble breathing (you can’t speak a complete sentence),
  • coughing up blood (more than about one teaspoon),
  • signs of low blood pressure. (lightheaded, too weak to stand, or cold, pale, clammy skin),
  • or if your symptoms do not get better as expected;

Contact your Willow Valley Medical Clinic Primary Care Physician at 208-852-2900.

If you experience extreme symptoms like:

  • severe trouble breathing (you can’t talk at all),
  • constant chest pain or pressure,
  • severely dizzy or lightheaded,
  • confused or can’t think clearly,
  • face and lips are blue in color,
  • loss of consciousness or have a hard time waking up;

Seek emergency medical attention immediately by calling FCMC Emergency Services at 208-852-0137 or Emergency Response at 911.

There are several places to find out how many cases we have in our community, southeastern Idaho, and across the state.

  1. Franklin County Medical Center Facebook page posts positive cases each week for Franklin County.
  2. Southeast Idaho Health Department’s website reports the numbers for our surrounding area.
  3. Idaho Department of Health & Welfare website has state-wide information and updates.

Here are three types of exposure and what you should do for each.


1. Definition:

  • Person “A” that is experiencing COVID-19 symptoms or has been diagnosed with COVID-19.

2. What to do:

  • Isolate from others (this includes people in your household) for ten days AND no fever for 24 hours & other symptoms are improving.
  • Take all precautions not to infect others.
  • Talk to your doctor about the best treatment options for you.

3. Notify:

  • You should let everyone know you have been in contact with for 48 hours before the onset of symptoms or positive test, whichever came first.


1. Definition:

  • Person “B” that has had close* or direct** contact with Person “A.”

2. What to do:

  • Talk to your employer (manager or HR representative) and follow the guidelines and policies set by your company.
  • Self-monitor for symptoms.
  • Get tested 5 – 7 days after direct contact with person “A”
    If you test positive, you are now considered person “A” and it is recommended that you follow those protocols.

3. Notify:

  • You do not need to notify anyone unless you develop symptoms or test positive for COVID-19.
    If you test positive, you are now considered person “A” and it is recommended that you follow those protocols.


1. Definition:

  • Person “C” that has had close* or direct** contact with Person “B”

2. What to do:

  • Self-monitor for symptoms.
  • Keep in contact with person “B” as they monitor their symptoms.
    If they experience symptoms or test positive, you are now considered person “B” and it is recommended that you follow those protocols.

3. Notify:

  • You don’t need to notify anyone unless person “B” becomes symptomatic or tests positive.
    If they experience symptoms or test positive, you are now considered person “B” and it is recommended that you follow those protocols.

*Close contact means you were within 6 feet for more than 15 (cumulative) minutes over 24 hours. 

**Direct contact means you had physical contact, you shared food or drinks, or they sneezed or coughed close enough to get respiratory droplets on you.

The new variant seems to be a little more tricky when it comes to testing– it can take 2-3 days after symptoms have set in before getting a positive test. Recent studies indicate that these nasal swab tests may be less sensitive to the omicron variant in the earliest days of infection. The lag is most likely because of where it replicates. While delta is more likely to show up first in the nasal cavity, omicron replicates first in the throat or upper trachea, which is why one of the most common symptoms is a sore throat.
More information is needed to determine at what point you may be contagious, so it is suggested that if you have symptoms and get a negative test, stay home and isolate. If you absolutely need to leave the house for work or other essential tasks, take extra precautions– wear an N95 mask, and avoid vulnerable populations.