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Your Health & Safety is Our PriorityYour Health & Safety is Our Priority

PATIENT HEALTH HISTORY: QUESTIONS ABOUT COVID-19 CORONAVIRUS
Our Teams & Patients: Your Health & Safety is Our First Priority

Screening Questions

1. Have you been diagnosed with a laboratory-confirmed COVID-19 Coronavirus infection?
If yes – patient must reschedule. Reschedule when public health authorities and the patient’s healthcare provider deem it safe to resume normal activities.

2. Are you currently experiencing a fever of 100.4°F or greater or other flu-like symptoms?
If yes – patient must reschedule. Reschedule when free from symptoms for at least 24 hours without the use of fever reducing medicines.

3. Do you live in the same household as, are an intimate partner of, or care for a person with a laboratory-confirmed COVID-19 infection?
If yes – patient must reschedule. Reschedule for a date which is 14 days after the last potential exposure.

4. Have you been within 6 feet of a person with a laboratory-confirmed COVID-19 infection for a prolonged period of time?
If yes – patient must reschedule. Reschedule for a date which is 14 days after the last potential exposure

5. Have you had direct contact with infectious secretions (e.g., cough or sneeze) of a person with a laboratory-confirmed COVID-19 infection?
If “yes”, please reschedule for a date which is 14 days after the last potential exposure.

If ‘you answer “no” to all questions, proceed with the appointment.

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