APPOINTMENT REQUEST FORM
近一周是否参与10多人聚会? Did you gathering in groups of more than 10 people within 1 week?
在过去14天中, 您有否与证实确诊的或疑似COVID-19患者有密切接触 (6英尺/1.8 米内)? Within the past 14 days, have you been in close physical contact (6 feet or closer for a cumulative total of 15 minutes) with Covid19 patient?
14天内是否出游到高风险地区? Travel to high-risk areas within 14 days?
你有否以下症状? Have you experienced any of the following symptoms in the past 48 hours:

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测体温

Temperature Checks

手消毒

Hand Sanitizers

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Physical Distancing

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