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COVID Screening Questionnaire

In order to prevent the spread of the coronavirus and reduce the potential risk of exposure to our workforce, we are asking all clients who choose to be in the exam room with the doctor and technician to complete this questionnaire during check-in and wear a mask during the interaction.

Screening Questions: Please answer Yes/No to each question

If you answer yes to any of the questions, please inform the front office staff. We will still be happy to see your pet as a curbside appointment or a drop-off appointment.

Do you have a fever (above 100F)
Have you had COVID-19 symptoms within the past 14 days? *

Symptoms include: Cough, Shortness of breath or difficulty breathing, Fever, Muscle or body aches, Headache, Chills, Sore throat, New loss of taste or smell, Congestion or runny nose, Nausea or vomiting, Diarrhea

Have you had a positive test for COVID-19 within the last 14 days?
Do you have a COVID-19 test pending?
Have you had close contact within the last 14 days with anyone who has tested positive for COVID-19?
Please check to confirm you have a mask in your possession available for immediate use:
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