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

Screening Questions

1. In the past 10 days, have you been diagnosed w/ a laboratory-confirmed case of COVID-19 or are you currently awaiting COVID-19 test results?

2. Are you currently experiencing, or have you experienced in the last 10 days, a fever of 100.4 or higher and/or other flu-like symptoms?

3. In the past 10 days, have you been in close physical contact (6 ft. or closer) with or cared for a person with a laboratory-confirmed case of COVID-19?

5. In the past 10 days, have you traveled internationally or domestically outside of the state?