COVID-19 Consent Form
Due to the new variant of Covid-19, we have to tighten our safety measures. If your answer is Yes to any of the questions below, please cancel or change your appointment.
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Have you or any of your family members been told to stay home, self-isolate or self-quarantine in the last 14 days?
Have you or any family members had any Covid symptoms in the last 14 days? (cough, temperature, loss of taste or smell, unusual fatigue or shortness of breath)
Have you or any of your family members had a positive test for COVID-19 in the past 14 days?
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