Screening Questionnaire

Washington Screening

COVID-19 Screening Questionnaire

In following both CDC and ADA recommendations, this questionnaire is designed with your safety in mind. Your answers will be reviewed prior to your appointment and a member of our team will contact you if we recommend rescheduling to a later date. Thank you for your consideration and understanding.

YOU ARE ADVISED TO REFRAIN FROM TAKING PUBLIC TRANSPORTATION TO OR FROM THE OFFICE (including airplane, train, Metro, taxi, Uber, Lyft).

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