Back & Body Medical COVID Screening

Please read carefully the questions below.

If you answer yes to any question, please contact the office (212) 371-2000 to discuss further.

Otherwise we look forward to seeing you at your appointment.

Thank you.

  1. Have you experienced any of the following symptoms in the past 48 hours:
    • fever or chills
    • cough
    • shortness of breath or difficulty breathing
    • fatigue
    • muscle or body aches
    • headache
    • new loss of taste or smell
    • sore throat
    • congestion or runny nose
    • nausea or vomiting
    • diarrhea
  2. Are you isolating or quarantining because you may have been exposed to a person with COVID-19 or are worried that you may be sick with COVID-19?
  3. Are you currently waiting on the results of a COVID-19 test?
  4. Have you been required to quarantine based on state guidelines in the past 14 days?
  5. Have you traveled outside of the United States within the last 14 days?
  6. Have you or anyone in your household traveled in the U.S. in the past 14 days?
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