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COVID-19 QUESTIONS

Safety Precautions You Need To Know

COVID-19 Screening Questionnaire Required

 

Temperature Check

Masks Required

No Accompanying Guest at This Time

Signed Acknowledgement

When you make your in-person appointment, we will require a COVID-19 Screening Questionnaire. To be screened for COVID-19, you will answer the following questions:

  • Do you have any of these symptoms?

    • Cough

    • Fever or chills

    • Shortness of breath or difficulty breathing

    • Muscle or body aches

    • Sore throat

    • New loss of taste or smell

    • Diarrhea

    • Headache

    • New fatigue

    • Nausea or vomiting

    • Congestion or runny nose

  • Does anyone in your house have COVID-19, or have you been in contact with someone who you know has COVID-19 or has had COVID-19 within the last 14 days?

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