COVID-19 Screening, Informed Consent, and Liability Form

COVID-19 form
Do you frequently experience headaches similar to this one?
Is your muscle pain chronic or recent in origin?
Are you aware of an injury, overuse, or other precipitating event that caused your discomfort?
Have you been in contact with anyone in the last 14 days who has been diagnosed with COVID-19 or has coronavirus-type symptoms?
In the last 14 days, have you attended social gatherings, restaurants, or other events outside the home where you were unmasked?
Have you received a COVID-19 vaccine?
Maximum upload size: 52.43MB