COVID-19 Health Screening Form

Visitor & Employee Voluntary COVID-19 Health Screening Form

To prevent the spread of COVID-19 in our community and to reduce the risk of exposure to our team members we are conducting a simple COVID-19 health screening questionnaire.

*COVID-19 symptoms include fever, dry cough, shortness of breath, tiredness, muscle aches/pains, chills, sore throat, runny nose, headache, loss of taste/smell.