Welcome Back | COVID-19 Forms
Forms:
#1. Patient Consent and Acknowledgement form. [ DOWNLOAD ]
#2. Patient Pre-Screening form. [ DOWNLOAD ]
Instructions for Form(s):
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Please save the following fillable forms(s) to your computer.
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Open and complete the form(s).
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Please ensure the information entered has been saved to the forms prior to submitting.
To submit the forms you can either email the completed form(s) to [email protected] or print and bring them to your next appointment.
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it: 