Complete Your Health Questionnaire (Covid-19 Screening)

This patient questionnaire was developed to help identify possible viral exposure. It also assists in identifying patients who could experience the most severe effects of COVID-19. Each of our patients are required to complete this health questionnaire before entering our office for your appointment. You may complete the questionnaire online within 24 hours of your upcoming appointment.

Please remember to wear your mask when entering and exiting our office.

Thanks for your compliance!

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