Covid-19 Screening Form
Conveniently located to serve the areas of Maryland, Virginia and Washington, D.C.
Posted on June 8, 2020 under Uncategorized
Our office will be opening to more patients starting Monday, June 15th. In efforts to keep both our staff and the community safe. Please fill out the following form and email to firstname.lastname@example.org before your appointment.
If you answer “Yes” to any of these questions, we will need to call our office prior to their appointment to clarify.
All individuals are advised to bring a mask as everyone is required to wear, and we will not be allowing additional visitors without prior approval.
Please feel free to reach out to our office with any questions or concerns.