Mandatory Pre-Appointment Covid-19 Screening
Please enter your name and birth date:
Do you or have you had any of the following symptoms in the last 14 days? Please check any or all that apply.
Shortness of breath
New loss of taste or smell
Are you awaiting results of a test for Covid-19?
Have you tested positive for Covid-19
Have you had close contact to anyone diagnosed with Covid-19 in the past 14 days?
Have you travelled to any known areas of high risk for Covid-19 within the last 14 days?
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