COVID-19 Pre-Screen Form

* Our new waiting room is the front seat of your car! Please remain in your vehicle. We will call your cellphone when we are ready for you.

* Please bring only yourself, unless you are a caregiver.

* Please leave any extra, non-essential belongings in your car.

* Feel free to wear a mask if you have one.

Safety is our Top Priority - Please answer the following:

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