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Screening Form

**Per Sola's requirements: This form needs to be filled out the day of your service and prior to coming to your appointment. **

Are you feeling any of the following symptoms: fever, cough, shortness of breath, sore throat, new muscle aches, new headache or loss of smell or taste?
Have you been around anyone in the last 72 hours that has has any of the symptoms above or been positive for COVID-19?

Thank you for submitting! See you soon!

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