For All the Smiles in Your Family

Call now: (925) 449-8788

Please let us know if any of the following questions apply to you:

1. Have you experienced any of the symptoms in the list below in the past 48 hours?

• Fever or chills
• Cough
  
• Shortness of breath or difficulty breathing
  
• Fatigue
  
• Muscle or Body Aches
  
• Headache
  
• New loss of taste or smell
  
• Sore throat
  
• Congestion or runny nose
  
• Nausea or vomiting
  
• Diarrhea
  

2. Are you isolating or quarantining because you tested positive for COVID-19 or are worried that you may be sick with COVID-19?

3. Have you been in close physical contact in the last 10 days with anyone who is known to have confirmed COVID-19 OR anyone who has any symptoms consistent with COVID-19?

Our screening questionnaire is derived from the CDC’s guidelines.More information regarding these guidelines can be found at:
www.cdc.gov/screening