Bridgewater reception

COVID-19 Health Questionnaire

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COVID-19 Health Questionnaire

    Prior to the start of my appointment, I confirm that:

    I have not been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeks:
    I have not shown symptoms of COVID-19 or have come in close contact with anyone exhibiting these symptoms (coughing, fever, sore throat) in the past two weeks (14 days):
    I have not traveled outside of New Jersey for the past two weeks (14 days):
    If I begin to show symptoms of COVID-19 with in the next two weeks (14 days) I will contact Bridgewater Veterinary Hospital immediately:

    I agree to follow all hospital rules and regulations to keep myself and all others around me safe. I understand that Bridgewater Veterinary Hospital reserves the right to modify or refuse service(s) should these policies not be followed at any time during my appointment.