Are you fully Vaccinated? *
Have you ever been tested for COVID-19? *
If so, what were your results? *
Have you had a negative result after the date you tested positive?
Have you traveled outside of the United States within the last 2 weeks? *
Do you now have or have you, in the past 2 weeks, had a cough, sore throat or a fever of 100 degrees or higher? *
Do you now or have you, in the past 2 weeks, have you had any of the following symptoms: Headache, chills, repeated shaking with chills, muscle pain or new loss of smell or taste? *
Have you been within 6 feet of someone who has been exposed, potentially been exposed or currently has COVID-19? *
Do you commit to notifying Bay Area Orthopaedic & Sports Specialist within 24 HOURS, if you find out you have been exposed, or potentially exposed to COVID-19 prior to your visit? *
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