COVID-19 Pre-Entry Screening for Critter Care
Completion of this form is required for entry into the Critter Care Animal Hospital facility. If you do not wish to fill out this form, we will be happy to provide you with curbside service.
Email address *
Your Name *
Your Critter's Name *
Appointment Date *
MM
/
DD
/
YYYY
Please answer if you (the human) have experienced any of the following recently: *
This list is the minimum necessary screening required by the CDPHE as part of Public Health Order 20-29
Yes
No
Fever
Cough
Shortness of Breath
Sore Throat
Muscle Aches
Chills
Exposure to someone with known or suspected COVID-19
Diagnosis with or quarantine due to suspicion of COVID-19
Submit
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