Due to COVID-19 pandemic we need to ask you a few questions:

  • Question 1.

  • Are you experiencing any of these symptoms?

  • Question 2.

    (If Yes, Appointment must be switched to Telemedicine)
  • Question 3.

  • Question 4.

    What is the recorded temperature today?

  • Note: If you have tested positive for CoVid19 in the past, we will need proof of a negative test before you come in to the office.

  • Date Format: MM slash DD slash YYYY
  • Staff initials

Safety Measures