515 Therapy and Consulting

Preventing COVID-19: Screening Checklist

 

Please review this check list prior to your in-office appointment and re-schedule for a telehealth appointment, if indicated. We ask everyone to wear a mask that covers your nose and mouth in waiting room/public areas.

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1. Have you and/or any person in your household had any of the following symptoms?

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• Fever of 100.4 or greater

• Sore throat

• Cough

• Shortness of breath

• New loss of taste or smell

• Nausea/vomiting or  diarrhea

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If YES to one or more of these, please schedule by telehealth.

If NO, you can go on to question 2.

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2. Do you and/or any person in your household have a pending COVID-19 test due to symptoms or potential exposure to COVID-19?

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If YES please do telehealth or reschedule.

If NO, go to question 3.

 

3. Have you and/or any person in your household tested positive for COVID-19?

 

If YES ask the following questions for further screening:

If NO, you can go to question 4.

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a. Have 10 days passed since first symptoms appeared or positive test result?

b. No fever for 72 hours without the use of fever reducing medication (ibuprofen, Tylenol, etc.).

c. Other symptoms have resolved (cough, shortness of breath).

d. Your family member tested positive, but you are fully vaccinated and have no symptoms.

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If YES to all 2a, 2b, 2c, 2d you can go on to question 4.

If NO to one or more of these, please schedule by telehealth or reschedule.

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4. Have you been exposed to COVID-19 by a person who has tested positive for COVID within the last 14 days? 

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If YES, and you, as well as the COVID-19 positive individual were wearing appropriate mask/PPE or you have been fully vaccinated, and were advised NOT to quarantine, then you can continue with in-office appt.

If YES, and you or the positive individual were not wearing appropriate mask/PPE or you were no fully vaccinated, please schedule telehealth.

If NO, you can be seen for an office visit.

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