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