Central Medical Associates
Quality Primary Care
Independent & physician-led since 2016

Comprehensive care, under one roof, for every generation.

Patients are central to our mission.

Central Medical Associates brings primary care, on-site diagnostics and laboratory services, and mental health care together across five Hardin County locations — plus telehealth visits — unbound by outside interests, and driven solely by what's best for our patients.

Accepting new patients All insurances accepted Telehealth visits available
5Locations — 4 in Elizabethtown, 1 in Radcliff
12Physicians & advanced practice clinicians
2016Founded through four practices, joined as one
On-siteFull lab & diagnostic suite
Our story

Four practices. One purpose.

Central Medical Associates was established in 2016 through the amalgamation of the practices of Dr. Movania, Dr. Ahmed, Dr. Quadri, and Dr. Nasir. The goal was simple: consolidate resources and expand our capabilities to comprehensively serve our patients under one roof.

While changes in the clinical landscape have since led us to step away from rehabilitation and radiology services, our commitment to comprehensive care remains. Today, alongside dedicated primary care, we continue to offer robust diagnostic and laboratory services — and we're proud to have recently expanded into mental health care.

2016

Central Medical Associates is founded

Drs. Movania, Ahmed, Quadri, and Nasir combine their independent practices into one group, consolidating resources to better serve patients.

Since

A focus on what matters most

As the clinical landscape changed, CMA stepped away from rehabilitation and radiology services to sharpen its focus on primary care and diagnostics.

Today

Primary care, labs, and now mental health

CMA offers comprehensive primary care at two locations, a full on-site lab and diagnostic suite in Elizabethtown, and a growing mental health service line.

Recently

Welcoming new clinicians

CMA is honored to have recently welcomed Patricia Williams, APRN — the most experienced Nurse Practitioner in Hardin County — and Kelly Keplinger Page, APRN, to the growing practice.

Our mission
“Central Medical Associates is an independent primary care practice dedicated to serving patients across every generation. Our mission is to provide compassionate, comprehensive care with a specialized focus on managing complex chronic conditions. Unbound by outside interests, our clinical decisions are driven solely by what is best for our patients.”
Central Medical Associates — Mission Statement
What we offer

Care built around the whole patient.

From routine wellness to the ongoing management of complex chronic conditions, our clinicians work as one team across every location.

01 — Primary Care

Family & Internal Medicine

Comprehensive primary care for patients of every age, from pediatric wellness to geriatric support.

  • Annual wellness exams & sports physicals
  • Chronic disease management
  • Acute & sick visits
  • Geriatric & addiction medicine
  • Telehealth visits available
02 — Diagnostics

Lab & Diagnostic Suite

A full on-site laboratory and diagnostic suite at our Elizabethtown main office, for fast, coordinated results.

  • On-site laboratory testing
  • Diagnostic imaging support
  • Results delivered via patient portal
03 — New

Mental Health Care

Compassionate psychiatric and mental health support, integrated with your primary care.

  • Psychiatric evaluation
  • Ongoing mental health management
  • Care coordinated with your primary clinician
Full list

Services provided

Acute care Urgent care Telehealth visits Comprehensive primary care Wellness exams Cancer screening Vaccinations Skin biopsies Minor surgery Diagnostic tests Laboratory services Chronic care management Advanced primary care management Remote physiological monitoring Management of substance use disorder Mental health medication management & counseling Medical cannabis evaluation Hospital services at Baptist Health Hardin & Encompass Health Hospital
Find us

Five locations, one connected team.

We see patients at five locations — four in Elizabethtown and one in Radcliff — plus telehealth visits for patients who can't make it in person.

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For appointments or specific medical concerns, please call your individual location directly using the numbers below. For non-urgent messages, lab results, or refill requests, use the Patient Portal.

Central Medical Associates — Mujahid Nasir, MD office buildingCMA — NASIR
CMA clinic building exteriorCMA — QUADRI
CMA Ahmed office building exteriorCMA — AHMED
CMA Radcliff office exterior, Movania and SimpsonCMA — MOVANIA, RADCLIFF
CMA Family Healing and Health building exteriorCMA — FHH
Elizabethtown

1311 Ring Road

1311 Ring RoadElizabethtown, KY 42701
Mon–Fri · 8:00 AM – 5:00 PM
CMA — Quadri, Suite 105 · 270‑769‑0892
Syed Quadri, MD, FACP Beth Morrow, PA-C Erica Powell, APRN
CMA — Nasir, Suite 101 · 270‑900‑4555
Mujahid Nasir, MD
Elizabethtown

1321 Ring Road

1321 Ring RoadElizabethtown, KY 42701
Mon–Fri · 8:00 AM – 5:00 PM
CMA — Ahmed, Suite 107 · 270‑986‑7392
Ayaz Ahmed, MD, FACP Tanya Revor, APRN Carrie Westbrook, APRN
CMA — Psychiatry, Suite 105 · 270-982-2002
Nancy Allen, PMHNP, FNP
CMA — Labs, Suite 105 · 270‑982‑2027
On-site laboratory & diagnostic services
Elizabethtown

Family Healing and Health — FHH

5900 N Dixie HighwayElizabethtown, KY 42701
270‑737‑1215
Mon–Fri · 8:00 AM – 5:00 PM
Patricia Williams, APRN Kelly Keplinger‑Page, APRN
Radcliff

CMA — Movania

700 W Lincoln Trail BlvdRadcliff, KY 40160
270‑351‑3192
Mon–Fri · 8:00 AM – 5:00 PM
Jawed Movania, MD Anita Simpson, APRN
Our team

Meet our physicians & clinicians.

Twelve physicians and advanced practice clinicians, sharing decades of combined experience across Hardin County.

Syed Quadri, MD, FACP portrait

Syed Quadri, MD, FACP

Internal Medicine
Accepting new patients
Read full bio

Dr. Syed Quadri has been a dedicated member of the CMA team since 2016, with a career spanning 42 years. He specializes in evaluating and managing complex medical conditions in adult patients.

He began his medical education at Gulbarga University in India (1984) and completed advanced training in Internal Medicine at Providence Hospital in Southfield, Michigan (1997). He has practiced in Kentucky since 1998.

Dr. Quadri served as Medical Director of the local free clinic from 2002 until its closing in 2024, and currently serves as President of the Hardin County Medical Society.

Beth Morrow, PA-C portrait

Beth Morrow, PA-C

Internal Medicine
Accepting new patients
Read full bio

Beth Morrow is a Physician Assistant-Certified with 32 years of clinical experience, having joined CMA on February 15, 2018. Her focus is on longitudinal care — the prevention, diagnosis, and treatment of complex and chronic illnesses.

She graduated from the University of Kentucky in 1993 and has practiced across Pediatrics, Internal Medicine, and Family Practice throughout central Kentucky.

Beth volunteered at The Free Clinic from 2002 to 2024 and remains active in local charities, horse racing, art, gardening, and time with her children and grandchildren.

Erica Powell, APRN portrait

Erica Powell, APRN

Family Practice
Accepting new patients
Read full bio

Originally from Radcliff, Erica Powell served as a Registered Nurse for 19 years before transitioning to advanced practice. She joined CMA in March 2020.

She holds a Master of Science in Nursing from Chamberlain University (2019) and a Bachelor of Science in Nursing from Kaplan University (2016).

Erica's practice centers on chronic condition management and women's health — providing a supportive, empowering environment for her patients. She is currently accepting new patients.

Mujahid A. Nasir, MD portrait

Mujahid A. Nasir, MD

Family Practice
Accepting new patients
Read full bio

Dr. Mujahid A. Nasir brings approximately 30 years of medical experience to CMA. Originally from Pakistan, he provides comprehensive primary care to patients of all ages.

He earned his medical degree in 1995 from King Edward Medical College and completed postgraduate training in Family Practice at St. Vincent Mercy Hospital in Toledo, Ohio.

His focus includes preventive care, chronic disease management (hypertension, diabetes, cholesterol, arthritis), and acute sick visits. He is a member of the American Academy of Family Physicians.

Ayaz Ahmed, MD, FACP portrait

Ayaz Ahmed, MD, FACP

Internal Medicine
Accepting new patients
Read full bio

Dr. Ayaz Ahmed has been a pillar of the Elizabethtown medical community for nearly 30 years, providing a seamless continuum of care between clinic and hospital.

He has served as Internal Medicine Hospitalist at Baptist Health Hardin since 1996, and chaired the Department of Medicine at Hardin Memorial Hospital in 2004.

Dr. Ahmed earned his medical degree at Osmania Medical College in Hyderabad, India, and completed his Internal Medicine residency at UPMC Mercy Hospital in Pittsburgh, PA.

Tanya Revor, APRN portrait

Tanya Revor, APRN

Family Practice
Accepting new patients
Read full bio

Tanya Revor joined CMA in September 2018 and brings 20 years of clinical experience, with a focus on chronic condition management and long-term patient relationships.

Originally from Arvada, Colorado, she earned her Bachelor's degree from the University of Louisville (2007) and her Master's from Eastern Kentucky University (2016).

Tanya serves as a clinical preceptor for nurse practitioner students each year and volunteers as a fast-pitch softball coach in the local community.

Carrie Westbrook, APRN portrait

Carrie Westbrook, APRN

Family Practice
Accepting new patients
Read full bio

Carrie Westbrook is a Nurse Practitioner with a highly diverse clinical background. A Kentucky native and former military brat, her first career was as an Electronics Engineer repairing military components. Finding her passion in healthcare, she became a nurse in 2011. Carrie built a broad foundation of patient care experience—spanning geriatrics, pediatrics, psychiatry, and med-surg—before earning her NP in 2022.

Outside the clinic, she is a proud mom of three boys, an enthusiastic sideline soccer fan, and loves spending downtime at her happy place: the beach.

Jawed M. Movania, MD portrait

Jawed M. Movania, MD

Internal Medicine & Addiction Medicine
Accepting new patients
Read full bio

With over 31 years of clinical experience, Dr. Jawed Movania joined CMA in 2016. Originally from Karachi, Pakistan, he bridges Internal Medicine and Addiction Medicine.

His practice is specialized in geriatrics, complex chronic conditions, and evidence-based treatment for opioid use disorders. He trained at Baylor College of Medicine (residency) and Dow Medical University (1990).

From 2002–2024, Dr. Movania volunteered at the local free clinic. Outside the clinic he enjoys gardening and fishkeeping.

Anita F. Simpson, APRN portrait

Anita F. Simpson, APRN

Family Practice
Accepting new patients
Read full bio

Originally from Louisiana, Anita Simpson served as a Registered Nurse for 20 years before advancing her practice. She joined CMA in August 2021 with 25 years of total nursing experience.

She holds a Master of Science in Nursing from Herzing University & Chamberlain University (2022) and has been board certified since 2021.

Anita volunteers at the local Food Bank and is deeply involved with the NAACP and the Boys & Girls Club. She is currently accepting new patients.

Patricia K. Williams, APRN portrait

Patricia K. Williams, APRN

Family Practice
Accepting new patients
Read full bio

With 30 years of dedicated service, Patricia Williams is recognized as the most experienced Nurse Practitioner in Hardin County. She recently joined CMA after over a decade in independent practice.

Patricia has collaborated with local physicians including Dr. Faulkner and Dr. Movania, and holds an MSN from Spalding University (1996).

Her practice reflects a whole-person, holistic philosophy, treating multiple generations of the same families over three decades.

Kelly Keplinger Page, APRN portrait

Kelly Keplinger Page, APRN

Family Practice
Accepting new patients
Read full bio

An Elizabethtown native, Kelly Keplinger Page joined CMA in 2026 with 13 years of experience as a board-certified APRN, shaped by work in Rural Health Clinics and Urgent Care.

She earned her MSN from Western Kentucky University (2013) and provides continuous care across the full age spectrum, from pediatric wellness to geriatric support.

“Being able to serve the families in my home community is a privilege. I believe in providing care that is as compassionate as it is comprehensive.”

Nancy Allen, PMHNP, FNP portrait

Nancy Allen, PMHNP, FNP

Psychiatry & Mental Health
Accepting new patients
Read full bio

Nancy Allen is a dual-certified Nurse Practitioner specializing in Psychiatry and Mental Health, with over 15 years of clinical experience. She has cared for CMA patients since December 2024.

She earned her Bachelor's degree from the University of Louisville (1999) and her Master's from Graceland University (2011), holding PMHNP-C and FNP-BC certifications.

Originally from Wilburton, Pennsylvania, Nancy is an active member of the Elks Society and enjoys gardening in her free time.

Before your visit

Preparing for your office visit.

A little preparation helps you get the most out of your time with your clinician.

All insurances are accepted — and new patients are always welcome across every CMA location.

Arrival

Arrive early & check in

Please arrive 15 minutes before your scheduled appointment to complete check-in. Be prepared to share any recent changes to your phone number, address, email, or insurance coverage at the front desk.

Medications

Bring your medications

  • All medication bottles — prescriptions, over-the-counter drugs, vitamins, and supplements
  • A written list of current medications for your records
  • A note of any medications that need to be refilled
Questions

Prepare your questions

Write down any questions or concerns ahead of time — especially anything you'd like to discuss regarding recent lab tests or diagnostic results.

Vaccinations

Stay current on immunizations

  • High-dose flu vaccine available starting August 1, 2026 — recommended for seniors 65+
  • Pneumococcal vaccine offered year-round
  • Shingles & RSV vaccines available — ask about age-appropriate timing
  • Bring records of vaccines received elsewhere so we can update your chart
  • See the CDC's immunization schedules for age-based recommendations

Billing and payment information

Review copayment, coinsurance, self-pay discount, payment-plan, and financial-hardship information.

View Billing & Payments

Connect through our patient portal

Review lab, imaging, and procedure results, message your care team, and request refills — all in one secure place.

Open Patient Portal
Patient education

Health Library

Plain-language guides from our care team on the conditions, services, and preventive care that matter most to our patients — across every generation.

Preventive care Chronic conditions Mental health Vaccines Diagnostics Addiction medicine
Preventive care

What to Expect at Your Annual Wellness Exam

Your yearly wellness visit is one of the most effective tools for catching problems early, before they become harder to treat.

Read more

An annual wellness exam gives your clinician a full picture of your health — from blood pressure and weight to bloodwork and age-appropriate cancer screenings. It's also the best time to update your medication list, discuss any new symptoms, and talk through your family history.

Bring a list of your current medications and any questions you've been meaning to ask. If it's been a while since your last visit, your clinician may recommend catching up on routine labs or screenings during this appointment.

Chronic conditions

Living Well With a Chronic Condition

Hypertension, diabetes, and high cholesterol are manageable with the right care plan and regular follow-up.

Read more

Chronic conditions like high blood pressure, diabetes, and high cholesterol often have no obvious symptoms, which is why regular monitoring matters. Our clinicians work with you to build a long-term plan — combining medication management, lifestyle guidance, and routine labs — rather than treating each visit in isolation.

Consistency is key. Keeping scheduled follow-ups, taking medications as prescribed, and reporting new symptoms promptly all help keep chronic conditions from progressing.

Vaccines

Flu Season: Understanding the High-Dose Vaccine

Starting August 1, our clinic offers the high-dose flu vaccine, especially recommended for seniors over 65.

Read more

As we age, our immune response to the standard flu vaccine can weaken. The high-dose flu vaccine is formulated to produce a stronger immune response in adults 65 and older, offering better protection during flu season.

If you've received a flu shot elsewhere — at a pharmacy or workplace clinic — bring your record with you so we can update your chart and avoid duplicate doses.

Vaccines

Shingles & RSV: Vaccines Worth Asking About

Two vaccines that often get overlooked, but matter a great deal for adults as they age.

Read more

Shingles can cause painful, long-lasting nerve pain, and becomes more common with age. RSV, once thought of mainly as a childhood illness, can cause serious respiratory illness in older adults as well.

Both vaccines are age- and risk-dependent. Ask your clinician at your next visit whether you're due, especially if you're 50 or older or manage a chronic health condition.

Mental health

Why We Integrate Mental Health Into Primary Care

Mental and physical health are connected — which is why our psychiatric care is coordinated with your primary clinician.

Read more

Conditions like depression and anxiety often show up alongside physical symptoms — fatigue, sleep changes, or trouble managing a chronic illness. Having mental health care coordinated with your primary care team means fewer gaps and a more complete picture of your overall health.

Our psychiatric and mental health clinician works alongside your primary clinician, so your care plan — medications included — stays consistent across every visit.

Diagnostics

Skin Checks: What a Biopsy Can (and Can't) Tell You

A new or changing spot on your skin is worth mentioning — most are harmless, but a quick check offers peace of mind.

Read more

Not every mole or spot needs a biopsy, but any that are new, changing in size or color, or don't heal are worth having a clinician look at. A skin biopsy is a minor, in-office procedure used to examine tissue more closely when something looks uncertain.

Most biopsy results are benign. Either way, having a spot checked is a simple way to catch something early, when it's most treatable.

Addiction medicine

Substance Use Disorder: Compassionate, Judgment-Free Care

Recovery is a medical process, not a moral one — and treatment works best when it's part of your ongoing primary care.

Read more

Substance use disorder is a chronic medical condition, and treating it well takes the same long-term, judgment-free approach we bring to any other chronic condition. Our addiction medicine care focuses on evidence-based treatment and steady, ongoing support.

If you or a loved one is struggling, reaching out to your clinician is a confidential first step — treatment plans are built around your specific situation and goals.

Chronic conditions

Remote Monitoring: Managing Chronic Care From Home

For patients managing ongoing conditions, remote physiological monitoring adds an extra layer of visibility between visits.

Read more

Remote physiological monitoring uses at-home devices — like blood pressure cuffs or glucose monitors — to share readings with your care team between office visits. This helps your clinician spot trends early and adjust your care plan without waiting for your next appointment.

Ask your clinician if remote monitoring is a good fit for the condition you're managing.

Preventive care

Urgent Care vs. the ER: Knowing Where to Go

Not every health concern needs the emergency room. Knowing the difference can save you time — and money.

Read more

Urgent care is the right choice for issues that need same-day attention but aren't life-threatening — minor injuries, infections, or a sudden illness. The emergency room is for serious, potentially life-threatening situations, like chest pain, difficulty breathing, or major injuries.

When in doubt about a symptom, calling your clinician's office first can help you decide the safest, most appropriate place to be seen.

Please note

This Health Library is provided for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Always talk with your Central Medical Associates clinician about questions specific to your health.

From our practice

News & announcements.

What's new at Central Medical Associates — new clinicians, expanded services, and seasonal reminders.

New clinician

Welcoming Kelly Keplinger Page, APRN

An Elizabethtown native with 13 years of experience joins our Family Healing and Health (FHH) location.

Read more

Central Medical Associates is proud to welcome our newest clinical staff member, Kelly Keplinger Page, APRN. An Elizabethtown native, Kelly brings 13 years of experience — shaped by work in Rural Health Clinics and Urgent Care — back to her hometown.

Kelly practices Family Medicine at our FHH location, providing continuous care for patients across the entire age spectrum, from pediatric wellness to geriatric support.

Expanded services

Now Offering Mental Health Care

CMA has expanded into psychiatry and mental health, coordinated directly with your primary care team.

Read more

We're proud to announce our recent expansion into mental health care. Nancy Allen, PMHNP, FNP, a dual-certified nurse practitioner with over 15 years of experience, now provides dedicated psychiatric and mental health care at our Ring Road location.

Mental health care is coordinated directly with your primary clinician, so your care plan — medications included — stays consistent across every visit.

Seasonal reminder

High-Dose Flu Vaccine Now Available

Our clinics begin offering the high-dose seasonal flu vaccine, especially recommended for seniors 65 and older.

Read more

Starting August 1, 2026, our clinics will offer seasonal influenza vaccinations, including the high-dose flu vaccine highly recommended for all seniors over the age of 65.

We also offer the pneumococcal vaccine year-round, and encourage patients to ask about age-appropriate Shingles and RSV vaccinations at their next visit.

New clinician

Patricia Williams, APRN Joins Our Team

The most experienced Nurse Practitioner in Hardin County brings 30 years of care to our growing practice.

Read more

Central Medical Associates is proud to welcome Patricia K. Williams as the newest addition to our clinical team. With 30 years of dedicated service, Patricia holds the distinction of being the most experienced Nurse Practitioner in Hardin County.

Patricia specializes in Family Medicine, offering comprehensive, whole-person care for patients of all ages — from K-12 students to seniors.

Practice update

All Insurances Accepted — New Patients Welcome

A reminder that every CMA location accepts all insurances and is currently welcoming new patients.

Read more

Whether you're establishing care for the first time or transferring records from another practice, our team is ready to help. All insurances are accepted, and new patients are always welcome across every CMA location.

Call your preferred location directly to schedule, or use the Patient Portal for non-urgent requests.

Patient portal

Sign Up for the HEALOW Patient Portal

Review results, message your care team, and request refills securely — all from your phone or computer.

Read more

We highly encourage all patients to sign up for HEALOW, our secure patient portal. Through HEALOW, you can review results from labs, imaging, and procedures, communicate directly with your care team, and request medication refills quickly and easily.

Need help signing up? Ask our front desk staff at your next visit, and we'll be happy to help.

Patient information

Billing & Payments

Central Medical Associates is committed to making billing and payment arrangements as clear and manageable as possible.

Billing Office270-982-2015

Copayments and coinsurance

Copayments and coinsurance are expected at the time of service. Please be prepared to pay the amount required by your health plan when you check in.

Where payments may be made

Payments may be made at any Central Medical Associates office or through the billing office, either in person or by telephone.

Payment plans

Payment plans are available for patients with a large outstanding balance who are unable to pay the full amount at one time. Please contact the office to discuss an arrangement.

Financial hardship

Charges may be reduced or waived in cases of documented financial hardship. Each request is reviewed by the applicable office on a case-by-case basis.

Self-pay discounts

Every Central Medical Associates office offers a self-pay discount for services furnished by Central Medical Associates. Contact your office before or at the time of service for details.

Please do not interrupt your medical care

Patients who have lost insurance coverage are strongly encouraged to contact the office rather than postpone or discontinue needed care. We will work with you to explore an appropriate arrangement so healthcare can continue to be provided regardless of your immediate ability to pay.

Focus On…

Heat Exhaustion: Symptoms, Prevention & Treatment

Heat exhaustion occurs when the body loses too much water and salt, usually through heavy sweating. It can progress to life-threatening heat stroke if it is not recognized and treated promptly.

Summer health Outdoor safety Brief patient guide

Common symptoms

Symptoms may include heavy sweating, headache, dizziness or lightheadedness, weakness, unusual fatigue, irritability, thirst, nausea or vomiting, muscle cramps, rapid heartbeat, elevated body temperature, and decreased urination.

Prevention

Drink fluids regularly, take frequent breaks in a cool or shaded place, wear lightweight and light-colored clothing, avoid strenuous activity during the hottest part of the day, and gradually increase exposure when returning to outdoor work or exercise. Never leave children, older adults, or pets in a parked vehicle.

Immediate treatment

Move the person to a cooler location, have them rest, loosen or remove unnecessary clothing, cool the skin with wet cloths, misting, or a cool shower, and provide cool water or an electrolyte drink if they are alert and not vomiting. Do not resume strenuous activity that day.

Heat stroke is an emergency

Call 911 immediately for confusion, disorientation, slurred speech, fainting, seizures, inability to drink, very high body temperature, or hot skin that may be dry or heavily sweating. Begin rapid cooling while waiting for emergency help. Do not give fluids to a person who is confused, unconscious, or unable to swallow safely.

Sources: CDC/NIOSH and OSHA guidance on heat-related illness and first aid. This information is educational and does not replace an individual medical evaluation.

Focus On…

Tick Bites: Prevention, Removal & Warning Signs

Tick activity is a major concern this season. CDC reported that weekly emergency-department visits for tick bites were higher than usual in 2026. Ticks are generally most active during the warmer months—especially April through September—but exposure can occur at any time of year.

Updated July 2026 Seasonal patient guide Kentucky & surrounding region

How to protect yourself and your family

Before going outdoors

Use an EPA-registered insect repellent as directed. Treat clothing and gear with products containing 0.5% permethrin, or purchase pretreated clothing. Wear long sleeves, long pants, closed shoes, and light-colored clothing when practical.

Avoid common tick habitats

Ticks commonly live in wooded, brushy, grassy, and leaf-covered areas. Walk in the center of trails and avoid brushing against tall grass or dense vegetation.

Check promptly after exposure

Check the entire body, including the scalp, hairline, ears, underarms, waist, groin, behind the knees, and between the legs. Carefully inspect children, pets, clothing, backpacks, and outdoor gear.

Shower and handle clothing

Shower soon after returning indoors. Tumble-dry clothing on high heat when appropriate; washing alone may not kill ticks. Follow garment-care instructions.

How to remove a tick safely

  1. Use clean, fine-tipped tweezers.
  2. Grasp the tick as close to the skin's surface as possible.
  3. Pull upward with steady, even pressure. Do not twist or jerk.
  4. Clean the bite area and your hands with soap and water, rubbing alcohol, or hand sanitizer.
  5. Record the date and likely location of exposure. A clear photograph of the tick may be useful.

Do not burn the tick, cover it with petroleum jelly or nail polish, or use other methods intended to make it detach. Prompt mechanical removal with tweezers is preferred.

Illnesses associated with tick bites

Rocky Mountain spotted fever

RMSF

May cause fever, severe headache, muscle pain, nausea or vomiting, abdominal pain, and rash. The rash may appear late or may be absent. RMSF can become life-threatening quickly, so early medical evaluation and treatment are critical.

Bacterial infection

Ehrlichiosis

Symptoms often begin within one to two weeks and may include fever, chills, headache, muscle aches, nausea, fatigue, and sometimes rash. Many patients do not remember a tick bite.

Blacklegged ticks

Lyme disease

Possible symptoms include fever, headache, fatigue, muscle or joint pain, swollen lymph nodes, and an expanding rash. The rash does not always look like a classic “bull's-eye,” and some patients have no recognized rash.

Delayed allergy

Alpha-gal syndrome

A tick bite can trigger a potentially serious allergy to alpha-gal, a sugar found in mammalian meat and some mammal-derived products. Reactions may be delayed for several hours after eating and can include hives, swelling, stomach symptoms, breathing difficulty, or anaphylaxis.

When to contact a clinician

Call promptly if you develop fever, rash, severe headache, marked fatigue, muscle or joint pain, facial weakness, palpitations, shortness of breath, or other new illness within days to weeks after a tick bite or after spending time in tick habitat. Tell the clinician when and where the exposure occurred. Seek emergency care for trouble breathing, swelling of the tongue or throat, fainting, confusion, severe weakness, or other signs of a serious allergic reaction or severe illness.

Sources: U.S. Centers for Disease Control and Prevention guidance on ticks, tick-bite removal, Rocky Mountain spotted fever, ehrlichiosis, Lyme disease, and alpha-gal syndrome. This information is educational and does not replace an individual medical evaluation.