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NO TIME? CLICK NEXT ARROWS TO EXIT AND CLOSE ---->>
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FORMS CAN BE COMPLETED IN PERSON IF NECESSARY, BUT
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YOUR VISIT INSIDE IS MUCH FASTER IF YOU FILL IT OUT NOW!
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TOUCH TO SELECT
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I AM A RETURNING PATIENT
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I AM A NEW PATIENT
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I HAVE A RECENT POSITIVE TEST
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I have NO SYMPTOMS and NO EXPOSURE
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SYMPTOMS WITHIN THE LAST 2 DAYS?
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RECENT COVID+ EXPOSURE?
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PLEASE SELECT SYMPTOMS BELOW TO ENSURE ACCURACY
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LOSS OF SMELL?
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SHORTNESS OF BREATH?
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LOSS OF TASTE?
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FEVER?
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FATIGUE?
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CHILLS?
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RUNNY NOSE?
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BODY ACHES?
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ABDOMINAL PAIN?
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HURTS TO BREATHE DEEPLY?
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NAUSEA?
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COUGH?
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VOMITING?
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NEW WORSENING COUGH WITH UNDERLYING CHRONIC COUGHING
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DIARRHEA?
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HEADACHE?
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NASAL CONGESTION?
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SORE THROAT?
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DIZZINESS?
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I RECEIVED A VACCINE AND DEVELOPED A FEVER AFTERWARDS
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