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Please note that this is compulsory for each patient and potential new client to fill out prior to each booking. This screening is to be filled out under oath that you are answering with honesty. You are putting many others at risk should you answer with dishonesty.

JLK CARE Follows who guidelines.

COVID-19 Screening
Do you have a fever, or have you experienced a fever within the past 14 days?
Have you experienced a recent onset of respiratory problems, such as a cough or difficulty in breathing, within the last 14 days?
Have you, within the past 14 days, travelled to areas with documented COVID-19 cases?
Have you come into contact with a patient confirmed COVID-19 infection wthin the last 14 days?
Have you come into contact with someone who recently had a fever or respiratory problems within the past 14 days?
Have you recently participated in any gathering, Meetings, or had close contact with many inacquainted people?

Thanks for submitting!

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