Skip to content
Search for:
Eyecare of Denton COVID Questionnaire
admin
2020-04-20T15:22:01+00:00
Eyecare of Denton COVID Questionnaire
Have you (or anyone in your home) traveled out of the country in the last 30 days?
*
Yes
No
Have you had fever or any other symptoms in the last 48 hours?
*
Yes
No
Is anyone in your household sick?
*
Yes
No
If your answer was yes to any of these questions, we ask that you call or email us to reschedule the appointment for your safety as well as the safety of our patients and staff
Go to Top
