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PRE-APPOINTMENT
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IN-OFFICE
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Do you/they have fever or have you/they felt hot or feverish recently (14-21 days)?
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Are you/they having shortness of breath or other difficulties breathing?
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Do you/they have a cough?
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Any other flu-like symptoms, such as gastrointestinal upset. headache or fatigue?
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Have you/they experienced recent loss of taste or smell?
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Are you/they in contact with any confirmed COVID-19 positive patients?
Patients who are well but who have a sick family member at home with COVID-19 should consider postponing elective treatment
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Is your/their age over 60?
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Do you/they have heart disease, lung disease. kidney disease, diabetes or any auto-immune disorders?
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Have you/they traveled in the past 14 days to any regions affected by COVJO-19? (as relevant to your location)
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