Law Office Check-in Form

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Interim COVID-19 Pre-Appointment Screening

Rest assured, we are taking the COVID-19 pandemic situation seriously. We practice Universal Precautions EVERY DAY.

· All clients or users are advised to use the hand sanitizer available next to the elevator.
· We client NOT come more than 10 minutes before their scheduled appointment. If you do arrive too early, we ask that you wait in until your scheduled appointment time.
· All visitors may be asked to reschedule if any positive answers are provided to this questionnaire or if you have a high temperature above 100.4.
· We ask visitors to contact our office if they experience COVID-19 symptoms within 14 days after their appointment.
· We ask all visitors to answer this form.

Email *

Name *

Date your appointment *

YYYY

Time of your appointment *

Time

Send me a copy of my responses.

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