COVID-19 Screening
Please return this form within 24 hours of your appointment time. Please keep in mind , if you answer "yes" to the first 4 questions, Oregon Health Authority REQUIRES rescheduling of appointment until symptoms have been resolved, and fever has been resolved without medication for at least 72 hours, or at least 14 days after contact with a person sick with cough, fever, or diagnosed COVID-19. I will also have to reschedule if I have encountered the same. Thank you.