Travel Declaration and Registration Form
All visitors to Town Vets are to complete the form below. Thank you for your understanding!
Full Name *
Your answer
Telephone Number *
Your answer
Email Address
Your answer
Have you traveled in the last 14 days? ( Please take a seat outside once you have notified us of your presence. We will conduct your appt via video/phone call ) *
Have you come in contact with any COVID-19 patients or somebody currently placed in self-isolation while awaiting results for COVID-19? ( Please take a seat outside once you have notified us of your presence. We will conduct your appt via video/phone call ) *
Do you have a fever or flu/cold-like Symptoms? (Please ask for a mask if you do not have one on and take a seat outside once you have notified us of your presence. We will conduct your appt via video/phone call) *
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