COVID-19 Questionnaire

Are you at risk?

Do you have a fever AND respiratory symptoms like cough or shortness of breath?

If No, you do not have COVID-19 and do not require testing.
If Yes, continue:

Have you had close contact with a person infected with COVID-19 or history of travel to an affected geographic area?

If No, this is not likely to be COVID-19. If you are otherwise well, self-care at home is advised. If you have other underlying health issues, are immunosuppressed, or feel very ill, you should seek care.
If Yes, continue:

Are you over 65, pregnant, or have a chronic lung condition, heart disease, diabetes, or on an immune suppressive medication?

If Yes, you should seek medical care. Follow Clinic/Emergency Visit instructions below regarding options for care.
If No, continue:

Are you having difficulty breathing, unable to eat or drink, or too weak to care for yourself?

Yes, you should be seen. Follow Clinic/Emergency Visit instructions below.
No, we recommend home care (rest, Tylenol and time). Avoid contact with other people until two days after you no longer have a fever and are recovering. If you would like to consult with a provider, please call our office.

Practice Hand Hygiene and Respiratory Etiquette

If you do leave your home to go to a care facility, wear a mask so your coughs and sneezes are less likely to infect others. (Masks are NOT recommended for healthy people in the general population.)
Wash your hands thoroughly (for at least 20 seconds) after sneezing, blowing your nose, coughing or using the bathroom, and before preparing or eating food.
If you cough or sneeze, do so into the bend of your elbow, not your hand. Or use a tissue, and then throw it away immediately afterward.
At home, clean often-touched surfaces such as doors and doorknobs, cabinet handles, bathroom hardware, tabletops, phones, tablets and keyboards regularly with disinfectant.

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