COVID-19 Screening Questions- Insight
In order to prevent the spread of COVID-19, protect our patients and to comply with recommendations by the CDC, please answer the following questions. If you are experiencing any symptoms consistent with COVID-19 or answer ""YES" to any of the following questions, please give us a call so that we can reschedule you or set you up with an online visit.
What is your name?
Have you tested positive for COVID-19?
Have you had close contact with or cared for someone who is suspicious for or been diagnosed with COVID-19 within the last 14 days?
3. Have you had any of these symptoms in the last 14 days?
Shortness of Breath
Recent Sore Throat
Recent muscle aches not associated with another health condition or exercise
I have had NO symptoms that are commonly associated with COVID-19
1. Have you traveled out of the country in the last 14 days?
Send me a copy of my responses.
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