top of page

Covid Pre-Appointment Screening Questions

CDC and OSHA guidelines mandate that we pre-screen all patients before they are seen for an appointment.  We greatly appreciate you taking the time to fill out this brief questionnaire to complete the screening and appointment confirmation process.  If you are unable to check any of the boxes please call our office to reschedule your appointment.

Covid-19 Health Declaration

How are you feeling today?

bottom of page