You must complete this screening questionnaire before each appointment
You must complete this COVID-19 screening questionnaire before each visit to our office on the day of your visit. Please confirm today's date and the date of your appointment.
Have you experienced any of the following symptoms in the past 14 days?
Please complete this questionnaire again if any of your answers change before your appointment.
Your information will be encrypted.
Our goal is to help our patients better understand their sleep disorder and then execute the best treatment to improve the quality of their sleep and subsequently their life.
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