Last updated: Jan 15, 2021

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Please review these questions before your appointment.
If you answer YES to any of theses questions, please call the office at 518-758-7711 ext 0.
 

Question 1:

Are you or anyone in your household  subject to quarantine due to travel outside of New York. 
(New York State COVID-19 Travel Advisory Page)

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Question 2:

In the past 14 days, have you developed any new symptoms of:

• Cough, shortness of breath, difficulty breathing

• Fever, chills, headaches

• Sore throat, loss of smell or taste

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Question 3:

Have you had close contact / suspect exposure with someone diagnosed with COVID-19?  Close contact means having been within 6 feet of that person for an extended time or being exposed to their cough or sneeeze.

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Question 4:

Have you tested positive for COVID-19?