Steps to Protect Your Health

Governor Roy Cooper has declared a state of emergency in North Carolina concerning COVID-19. It is important to take steps to protect your health and the health of others. If you are scheduled for a visit to Reply and have ANY KNOWN EXPOSURE to COVID-19 or are experiencing ANY SYMPTOMS – including fever, persistent cough, shortness of breath, or other flu-like distress – PLEASE CALL US FIRST @ 919-230-2100. Our clinical staff will help you make the best decision about the next steps to take.

Please also note that many appointments can be scheduled via telehealth. For more information visit Reply telehealth or talk to our schedulers at 919-230-2100.

2-1-1 is also now a resource for people to call for assistance related to the COVID-19 coronavirus. Scroll below for more information.

The safety, health, and well-being of our patients, their families, and our staff are of the utmost importance to Reply. Posted below are important tips to help you stay healthy, and directions for patients receiving care.


We will continue to provide further important updates concerning your clinical care during this COVID-19 pandemic. In response to recent national guidelines, and in an effort to keep you and our clinical staff as safe and healthy as possible, we will be making some changes to our clinic flow. Please check back frequently for changes in clinical protocols – at this time, it is not clear how long these changes will be in place. We will work to provide timely information to you. Changes outlined below will be effective immediately.

Universal COVID-19 Testing at WakeMed Cary

Phase 1:  Monday, October 19, 2020

October 19: Universal COVID-19 Testing for Hospital & Healthplex Patients Begins. Beginning at noon Monday, all patients admitted through WakeMed Emergency Departments (including OB EDs) or hospitals (including the Rehab Hospital) will be tested for COVID-19. Inpatients and observation patients in our system before noon Monday will not be tested unless they meet the appropriate criteria. We will achieve truly universal testing through discharges and admission rotations over a matter of days following go-live. Patients who do not have COVID-19 symptoms will be tested using the Abbott ID Now Rapid test, which offers resulting in approximately 40 minutes. Symptomatic patients will be tested using the Cepheid platform.

Patients who come in through the ED will be tested in the ED. Patients who are admitted directly to a floor and/or transferred from another facility will have specimens collected in the unit and submitted to the lab for testing. Providers will follow usual procedures to order COVID-19 testing for direct admits.

If possible, patients awaiting test results should remain behind a closed door. Staff should wear our now-standard PPE – WakeMed-provided procedure mask, eye protection and gloves – until the patient’s test results return. The CDC and experience have shown us that this level of PPE protects caregivers from contracting COVID-19 for short periods and minimal contact.

Newly Released Guidelines

Reply’s own Dr. Rachel Urrutia has also contributed to the newly released NCDHHS interim guidelines for Maternal Health and Pregnancy during the pandemic. Read them here.

Reply Clinic Access

All patients entering or being seen in the clinic will be required to wear a mask. If you do not have a mask, one will be provided for you. No one other than patients and staff will be permitted to enter the office. If you rely on another person for transportation, they may wait in their personal vehicle during the appointment. This will help us minimize the number of people moving through the clinic.

EXCEPT – Effective 12/8/2020, our patients having their first OB ultrasounds and also those having anatomy scans will be able to bring a support person with them to the visit. The support person will have to screen negative for COVID risk and temperature at the front desk, will have to wear a surgical mask provided by Reply and stay at least 6 feet away from the sonographer during the scan. Any exceptions to this policy will have to go through the director of quality.

Appointment Scheduling at Reply

We are working to minimize the number of in-person visits to our office. Many patient visits can be done safely with telemedicine. Others can be postponed. We will continue to keep the office open to see our pregnant patients and those with an urgent medical concern. Urgent medical concerns may include ultrasounds and evaluation for abnormal bleeding and/or pelvic pain, among other things. Our front desk may contact you with recommendations, or you may contact us. This is a work in progress and we appreciate your help and support as we do this.

ALL PATIENTS – If You’re Experiencing Symptoms

If you have known exposure to COVID-19 or are experiencing fever or respiratory symptoms (cough or shortness of breath), PLEASE CALL US FIRST at 919-230-2100 before coming in person to the office. Our staff will help you determine the best place and timing to seek care and or testing. Please be assured that we are monitoring our messages closely and will respond to you quickly after your call. Please know that Reply can offer telemedicine appointments in many cases instead of an in-person appointment.

If you are experiencing symptoms and plan to visit another provider or urgent care, you also should call them first. Clinical staff at these locations can also help you make the best decision about next steps to take.

If you need emergency care for shortness of breath and you are not able to call us first, please go to the Emergency Department at WakeMed or UNC Hospital Chapel Hill, and do NOT go to the Women’s Pavilion at WakeMed Cary.

For any non-emergency patient concerns the best way to contact us is through the portal. We will be able to respond more quickly this way than via telephone messages.

Information for Pregnant Patients

If you are experiencing fever or respiratory symptoms (cough or shortness of breath), please follow the same guidelines outlined above for ALL patients. 

If you are a Reply patient currently in labor, please follow all previously established protocols, call Reply to report active labor, and then proceed if/as directed to the Women’s Pavilion at WakeMed Cary.

Be advised, WakeMed Cary is allowing ONLY one support person in the hospital. As of 5/11, WakeMed Cary is NOW ALSO allowing a certified doula to accompany patients. The support person you choose to be with you in labor and delivery will have to stay the same throughout your stay in the hospital – from admission through birth. Other support or visitors will not be allowed, including no children at all under age 12.

At this point there is limited information about coronavirus in pregnancy. The CDC is the best source for information and they have a section specifically for pregnant women and children.

CenteringPregnancy Prenatal Care

We will suspend our CenteringPregnancy (group prenatal visits) for the time being. We will be contacting our CenteringPregnancy patients to schedule individual prenatal appointments instead of the group appointment.

Tips for Everyone

There are a number of things you can do to help protect yourself and others. Please follow these tips from the North Carolina Department of Health and Human Services:

  • Wash hands frequently with soap and water for at least 20 seconds at a time.
  • Avoid touching your eyes, nose and mouth with unwashed hands.
  • Avoid close contact with people who are ill.
  • Cover your mouth and nose with a tissue when you cough or sneeze.
  • Do not reuse tissue after coughing, sneezing or blowing your nose.
  • Clean and disinfect surfaces that are frequently touched

Click here to view the CDC tutorial video on proper hand-washing techniques.


Additional Resources

2-1-1 is now a resource for people to call
for assistance related to the COVID-19 coronavirus.

NC 2-1-1 is an information and referral service that families and individuals can call to obtain free and confidential information on health and human services resources within their community. NC 2-1-1 operates 24 hours a day, seven days a week, 365 days a year and resources are available in most languages.

North Carolinians can text COVIDNC to 898211 to receive general information and updates about COVID-19. Sign up now to get regular alerts on the rapidly evolving situation and North Carolina’s response.

NC 2-1-1 can also refer callers to the organizations in their local community best equipped to address their specific health and human services needs including food, shelter, energy assistance, housing, parenting resources, health care, employment, substance abuse treatment, as well as specific resources for older adults and for persons with disabilities, and much more. Simply dial 2-1-1 or TTY 888-892-1162 for assistance.

NOTE: NC 2-1-1 cannot provide direct medical services, and COVID-19 can only be diagnosed by a health care professional. If you suspect you or someone you care for may have symptoms or have been exposed to the virus, you should contact your health care provider. If you do not have a provider, you can call your local health department, free and charitable clinics or a Federally Qualified Health Clinic for guidance.

People should only call 9-1-1 if they are experiencing an emergency. 9-1-1 centers across North Carolina have been receiving general questions and other non-emergency calls related to COVID-19. Please do not call 9-1-1 unless you have an emergency.

For the most up-to-date information on COVID-19 in North Carolina, go to
For additional questions or concerns, patients may also call the North Carolina COVID-19 helpline at 1-866-462-3821.

For more information, here are other resources you may wish to consult.

The Centers for Disease Control and Prevention (CDC)
North Carolina Department of Health and Human Services
WakeMed Hospitals
UNC Health


Please do not hesitate to call us at Reply with any questions:

During business hours:  919-230-2100
After-hours on call:        984-207-3739