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Covid-19 Screening Assessment 


  • Do you have a cough, shortness of breath or difficulty breathing? 
  • Do you have a fever now or have you had a fever in the past 24 hours? (temp above 99.9°F)
  • Have you experienced recent loss of taste or smell?
  • If you are unvaccinated, have you come in contact with any confirmed COVID-19 positive persons in the last 14 days?


"YES", I have experienced one or more of the above. Please contact us at 818-847-7299

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