Touhy Animal Hospital Touhy Animal Hospital

COVID Screen

COVID Screen

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COVID Screen

Do you have any of these symptoms that are not caused by another condition?(Required)
  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • Recent loss of taste or smell
  • Sore throat
  • Congestion
  • Nausea or vomiting
  • Diarrhea
Within the past 14 days, have you been in close contact with anyone that you know had COVID-19 or COVID-like symptoms? Close contact is being within 6 feet for 15 minutes or more over a 24-hour period with a person; or having direct contact with fluids from a person with COVID-19 with or without wearing a mask (i.e., being coughed or sneezed on).(Required)
Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test?(Required)
Within the past 14 days, has a public health or medical professional told you to selfmonitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection?(Required)