Coronavirus (COVID-19) is an emerging, rapidly evolving virus.

As we follow updates, keeping everyones health in mind;

Here are a few guidelines as we reopen to scheduling appointments.

By attending my appointment...

I agree that I am not currently experiencing any of these symptoms:

• Cough

• Shortness of breath or difficulty breathing

• Fever

• Chills

• Muscle pain

• Sore throat

• New loss of taste or smell

Please note: Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.

I agree that I have not:

• Tested positive for COVID-19

• Knowingly been exposed to someone with COVID-19

• Recently traveled to an area with a high infection rate

• Been in an area where social distancing was not properly observed

• Been to a nursing home

If you have experienced any of the above, please reschedule your appointment at least 14 days from now.

Get the latest public health information from CDC: https://www.coronavirus.gov
Get the latest research information from NIH: https://www.nih.gov/coronavirus