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.
- 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 - 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?
- Are you currently waiting on the results of a COVID-19 test?
- Have you been required to quarantine based on state guidelines in the past 14 days?
- Have you traveled outside of the United States within the last 14 days?
- Have you or anyone in your household traveled in the U.S. in the past 14 days?
