Have you had a fever, cough, shortness of breath, sore throat, any new loss of smell or taste, muscle pain,
or flu-like symptoms in the past 14 days?
Have you been near or had physical contact with anyone who has had these symptoms or has been diagnosed with COVID-19 in the past 14 days?
Have you traveled out of Texas in the last 14 days?
Have you been in contact with anyone who has traveled to Texas from somewhere else?
I agree to contact Alfi Oral, Dental Implant & Facial Surgery if I develop any of these symptoms within 14 days of my last visit to the office.