COVID-19 Pre-Visit Screening Survey
As an essential healthcare worker, Dr. Vivian Giannakakis, D.C.  must do everything possible to mitigate risk to patients and other members of the community so it is vitally important for you to complete this form as accurately prior to each visit. It is essential too text the office address if you are running late or early as to prevent excess overlapping with other people in the office.
Have you been exposed to COVID-19 or do you believe that you have been exposed?
Please check any of the following symptoms you are currently expressing:
Have you traveled to or from a high risk geographic area in past 14 days?

Thank you for submitting