COVID-19 Patient Forms

Please complete the first form 48 hours - 1 week prior to your appointment, and the second form on the day of your appointment.


Form #1 - Pre-Screening Form

Please complete pre-screening form 48 HOURS - 1 WEEK prior to your appointment

Pre-Screening Form


 

Form #2 - Day of Appointment Form

Please complete PATIENT RISK ACKNOWLEDGEMENT form below ON THE DAY OF your appointment

Day-of Appointment Form

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