COVID-19 Screen
Please complete within 24h of your appointment in the office. You will need to show your score to the staff at the front desk.
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In the last 5 days, do you have any of the following symptoms: *
2 points
In the last 5 days, Do you have any of the following: *
1 point
Required
Do you live with someone who is currently isolating due to: *
2 points
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