COVID-19 Pre-Screening Questionnaire

1. Have you visited an area known to be high risk for 2019-2020 Covid-19?
2. In the 14 days before symptoms onset, did you have close contact with a person who is under investigation for 2019-2020 Covid-19 while that person was ill?
3. Do you have any flu like symptoms?
4. Have you been in contact with anyone who has had any flu like symptoms recently? 

If you answered “YES” to any of the questions above and have an upcoming appointment, please call our office for further instructions prior to your visit.