SCREENING QUESTIONS

If you answer YES to any of the questions below, please call our office at 217-483-3545.

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On the day of your appointment, please call us from your car when you arrive. We are still at 120 N Main in Chatham; we have not moved yet.

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Have you had a fever, cough, or any flu-like symptoms in the last 14-21 days?

1.

Have you been or are you currently in contact with anyone confirmed COVID-19 positive? *Patients who are well but who have a sick family member at home with COVID-19 should consider postponing elective treatment.

2.

Do you have heart disease, lung disease, kidney disease, diabetes or any auto-immune disorders?

3.

Have you traveled out of the country in the past 14 days?

4.

If you answered no to all these questions, please remember to confirm your appointment through text or email.

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**Please do not submit any Protected Health Information (PHI)