PANDEMIC PREVENTION GUIDELINES PRE-SCREENING QUESTIONS

If you answer “yes” to any of the following questions, please do not come to the practice for treatment. If you have not done so already, please contact your primary care provider.

1/ Have you had one or more of these symptoms today or within the past 24 hours, which is new or not explained by another reason? 

-Fever, Chills, or Repeated Shaking/Shivering 

-Cough  

-Sore Throat 

-Shortness of Breath, Difficulty Breathing 

-Feeling Unusually Weak or Fatigued 

-Loss of Taste or Smell 

-Muscle pain 

-Headache Runny or congested nose 

-Diarrhea

2/ Within the last 10 days, have you been diagnosed with COVID-19 or had a test confirming you have the virus?

3/ Do you live in the same household with, or have you had close contact with someone who in the past 14 days has been in isolation for COVID-19 or had a test confirming they have the virus? 

*These questions are listed in online appointment notifications.