415-923-3007
2100 Webster St #214, San Francisco, CA 94115
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Pre-Appointment Screening Questions

Effective 5/27/20, the City and County of San Francisco Department of Public Health [SFDPH], and Centers for Disease Control & Prevention [CDC] as set by the Sutter Health Emergency Management System [SHEMS] issued an order: 

Anyone, such as patients, staff, physicians, contractors, and vendors entering a medical office, MUST answer the following questions.  Your answers will be kept confidential.

  1. Within the last 10 days have you been diagnosed with COVID-19, or had a test confirming you have the virus?
  2.  Do you live in the same household with, or have you had “close contact” with someone who, in the past 14 days, was diagnosed with COVID-19, or had a test confirming they have the virus?
  3. Have you had any one or more of these symptoms today or within the past 24 hours, which is NEW or NOT explained by a pre-existing condition?
    • Fever, Chills, or Repeated Shaking/Shivering 
    • Cough
    • Sore Throat
    • Shortness of Breath, Difficulty Breathing
    • Feeling Unusually Weak or Fatigued
    • Loss of Taste or Smell
    • Muscle Pain
    • Headache
    • Runny or Congest Nose
    • Diarrhea, Stomach Cramps or Vomiting

If you answer “yes” to any question, your responses will be review by a designated medical leader to assess whether you can keep your scheduled appointment.  Thank you for your help in keeping our office and community safe. 

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415-923-3007

2100 Webster St, San Francisco, CA 94115