SPECTRUM OPTOMETRY
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Please answer the following questions prior arrival to your appointment
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Do you have a cough, shortness of breath or difficulty breathing?
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Do you have a fever now or have you in the past 14-21 days?
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Have you come in contact with any confirmed COVID-19 positive patients in the last 14 days?
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Are you experiencing other flu-like symptoms, such as gastrointestinal upset, headache, or fatigue?
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Have you experienced recent loss of taste or smell?
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Have you traveled outside of California in the last 14 days?
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请在您的约定之前回答以下问题
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你最近有咳嗽,感到呼吸急促吗?
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您最近14-21天发烧吗?
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在过去的14天内,您是否与被诊断新冠病毒阳性的人接触?
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您是否有类似流感的症状,例如肠胃不适,头痛或疲劳?
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您最近是否失去了味觉或气味?
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在过去的14天内,您有没有去过加利福尼亚州以外的地方?
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Responda las siguientes preguntas antes de llegar a su cita
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Primer nombre Apellido
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Número Celular
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¿Tienes tos? o dificultad para respirar?
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¿Tiene fiebre o ha tenido fiebre los últimos 14-21 días?
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¿Ha tenido contacto con alguien que haya sido diagnosticado como positivo de COVID-19 en los últimos 14 días?
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Si
No
¿Tiene síntomas semejantes a los de una gripe, tal como malestar gastrointestinal, dolor de cabeza o fatiga?
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Si
No
¿Ha sentido pérdidas de gusto u olfato recientemente?
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Si
No
¿Ha viajado fuera de California en los últimos 14 días?
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Si
No
Submit
WELCOME
Our Practice
Our Services
Professional Eye Exam
Contact Lens
Optical Services
Myopia Control Center
Refractive Surgery
Promotions
Satisfied Customers
Appointment Request
Online Check In
See us on News
中文
近视控制中的角膜塑形术治疗
Eye Care Articles
Scleral Lens Care
Dry Eye Spa
Nutraceuticals
Contact Lens Ordering
Health Wellness Form
Location