Patient Screening and Consent
Please complete the following patient screening and consent form. Identify, patient name, age, and who completed the form. This is a pre-screening only.
Upon arrival at the office you will be asked to sanitize your hands, have your temperature taken, as well as answer these questions again.
Please be advised, that at the present time, only patients are allowed in the office, (if a parent/guardian is needed, they will follow the same protocol. Otherwise, please wait in your vehicle or just outside of our office.