2020 Flu Questionnaire Form

  • Please rest assured that in addition to our usual attention to detail regarding infection control measures in our office, we are being extra careful in taking steps to protect you, our other patients and ourselves during this difficult time.

    Thank you for taking this brief survey which will help ensure everyone remains as safe as possible.


  • By signing below, I confirm that the information provided above is correct.

  • This field is for validation purposes and should be left unchanged.