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Patient Satisfaction Survey

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Our patients' safety is our primary goal.

Please answer the questions below to determine if you present a COVID-19 risk. If the answer is yes to any of the below questions for you or your driver, please call our office to reschedule your appointment.

  • Have you been on a cruise ship in the last 14 days?
  • Have you traveled to a CDC high risk area (see link to the CDC below) within the last 14 days?
  • Have you had contact with a person who has traveled to a CDC high risk area within the last 14 days?
  • Have you had contact with a person who has been diagnosed with the Coronavirus disease?
  • Do you have a fever?
  • Do you have a recent onset cough?
  • Do you have shortness of breath?
  • Do you have other acute respiratory symptoms?

For more information from the CDC, please click below

CDC COVID 19