Covid-19 Screening Questionnaire
Please download and fill out this questionnaire prior to your appointment.
Once completed, please send it to our team at firstname.lastname@example.org
Please note that in order to fill out the questionnaire, you can either download it on your computer, or fill it in your browser, then save it in order to send it to us.
The Adobe Reader software, if needed, can be downloaded for free by clicking here.
Thank you for your cooperation !