Are you feeling ill today? Do you currently have a temperature of 100 degrees or more? In the last 48 hours, have you experienced any flu-like symptoms such as fever, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, congestion or runny nose, nausea or vomiting, or diarrhea?
In the last 10 days, have you: tested positive for COVID-19 or taken a COVID-19 test and are awaiting results; been in contact with someone with confirmed COVID-19; been hospitalized or visited the emergency room for COVID-19 or related symptoms; been told by a medical professional to quarantine?
Since you have been in close contact with a confirmed COVID-19 case, please select "yes" to attest that you will schedule your appointment outside of the 10 days quarantine window.
