Preparing for your injection appointment:

 

At least one to two days before visit:

·         Call us with updates to addresses, phone numbers, insurance

·         Call us with credit card info to keep check-in/out contactless

 

On day of visit

·        Review the Pre-visit Screening Questionnaire below:

(no need to print out the form, please just review it carefully)

If you answer yes to any of the questions, do NOT come to the office.  Please call us to reschedule. 

 

In the last 21 days have you or a member of your household had any of the following:

1.     Contact with or potential exposure to a COVID-19/corona virus patient:

 ___Yes         ___No    

 

2.     Any travel (International or Domestic):

 ___Yes      ___No    If yes, where and when ____________________?

 

3.     Fever:   ___Yes              ___No

 

4.     Chills:         ___Yes                 ___No

 

5.     Sore throat/HA/runny nose/sneeze:     ___Yes                 ___No

(common symptoms in vaccinated breakthrough cases)

 

6.     Body aches: ___Yes                 ___No

 

7.     Rash including on toes:   ___Yes       ___No

 

8.     Loss of smell or taste:      ___Yes       ___No  

 

9.      Cough:  ___Yes             ___No

                   

10.  Shortness of breath:  ___Yes   ___No    

 

11. Diarrhea:  ___Yes ___NO                

 

12.  Nausea or vomiting:  ___Yes   ___No

 

13. Abdominal pain:  ___Yes         ___No

 

 

 

Day of visit:

 

Before you leave the house:

·         Use the bathroom before leaving the house to minimize contact with other patients in our office 

·         Bring your cell phone

·         Bring your face mask –wear your most protective mask.  An N95 without a valve if you have one.  Otherwise, a surgical ear loop mask.  If you only have a cloth mask, a KN95, or N95 with a valve, we will give you a surgical mask to put on top of your mask.  We recommend that you keep the mask we give you for later use.

·        Bring Kleenex/tissues with you to office if needed

·        Wear a tank top or loose short sleeve shirt that has sleeves that roll up easily

·        For vaccines, please read the Vaccine Information Statement:

https://www.immunize.org/vis/

Click on the type of vaccine that you are having and review the document.  Call us with any questions about which one.

·        We will document verbal consent when you get here instead of having you sign

 

Upon arrival outside in front of office

·                    Call us from your car so that we know you are here.  Patients will no longer be using our waiting room in order to avoid infecting others.

·                    Do not bring anyone else to appointment.  Driver/family must wait in the car. 

·                    If we do not answer the phone, please wave at our front desk window and wait outside of the red lines.  The door is locked in order to regulate entry.  Our staff will call you on the phone to tell you what to do.  You may sit on the plastic chair outside if you wish. 

·                    Injections will be administered outside our office.  We will meet you outside when we are ready.

 

During your appointment:

·         Please keep your facemask on. 

After your appointment

·                    Payments will be contactless and will be handled using the credit card information that you have already given us. While we normally prefer checks, we are only using credit cards during COVID.  

·                    Any needed insurance forms will be mailed to you

 

Thanks so much for your help in keeping everyone safe during this pandemic!