What Location Are You Scheduled to see us Today?

Have you been expiriencing any of the following symtoms?

Has anyone in your household experienced a fever of more than 99.5 or lower respiratory illness symptoms such as a cough or difficulty breathing, unexplained GI symptoms, or persistent headaches?

In the past 14 days have you or someone in your house traveled outside of the United States?

In the last 14 days have you tested positive for COVID, or been exposed to someone who has tested positive for COVID-19?

Have there been changes to your address or insurance that you would like to report?