Due to the recent outbreak of coronavirus, we are taking precautions

We ask that you please complete the below survey before your scheduled appointment. It only takes one minute!

CORONA VIRUS SCREENING
Recently visited anywhere in mainland China, Iran, Italy or the Republic of Korea in the past 14 days?
Been in contact with anyone who has been in mainland China, Iran, Italy or the Republic of Korea in the past 14 days?
Experiencing symptoms of: fever, cough, sore throat or shortness of breath?
Have you knowingly been in contact with someone else who has Coronavirus in the last 14 days?

If you have answered YES to any of the above questions, we strongly advise you to reconsider your appointment. Please be advised that based on your responses above we may contact you to reschedule your appointment.