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Screening Questions Include:

1.   Have you or anyone in your household had any of the following symptoms in the last 21 days:

• sore throat
• cough
• chills
• body aches for unknown reasons
• shortness of breath for unknown reasons
• loss of smell or loss of taste
• fever at or greater than 100 degrees Fahrenheit?
• other: headache, URI symptoms (nasal congestion/drainage)

2.   Have you or anyone in your household been tested for COVID-19? If so, when and why? Results?
3.   Do you have any reason to believe you or anyone in your household has been exposed to or acquired COVID-19?
12.  Do you feel you need to be seen in person at this time, or is there a preference to reschedule or complete a telehealth encounter? ​​​​