COVID-19 Screening

  • • If you have answered NO to all questions and do not exhibit any of the listed symptoms, then you may proceed with your appointment.
  • • If you have answered YES to any questions or any symptom then you may be asked to reschedule your appointment and further questioning may be required.
  • By submitting this form, I certify all information is true and correct to the best of my knowledge.
 

Verification