I agree that by creating this appointment I am confirming the following:
- Have not had symptoms of COVID-19 within the last 14 days including:
- Fever
- Cough
- Shortness of breath or difficulty breathing
- Chills
- Repeated shaking with chills
- Muscle pain
- Headache
- Sore throat
- New loss of taste or smell
- Have had no known contact with anyone testing positive for COVID-19 within the past 14 days (this includes all healthcare workers participating in the care of COVID-19 patients)
- Have not been confirmed (via COVID-19 RT-PCR) to have been infected with COVID-19, subsequently recovered.
- Have complied with the following social distancing guidelines for the last 14 days:
- Staying at least 6 feet away from others during shopping at the grocery store or pharmacy
- Avoiding “large and small gatherings in private places and public spaces, such a friend’s house, parks, restaurants, shops, or any other place”
- Work from home when possible