Learn About Our COVID-19 Policies & Procedures – We are doing our part to keep the community and our staff safe. Read about what changes we have made.
Patient's Date of Birth
Have you received one of the COVID-19 vaccines?
Which vaccine did you receive?
Johnson & Johnson
Have you had lab diagnosed COVID-19 in the last 6 month?
- If yes when:
Do you have now, or have you had any of the following symptoms in the past 14 days?
Fever or chills
Dry cough, shortness of breath or difficulty breathing
New loss of taste or smell
Nausea, vomiting or diarrhea
Have you been or potentially been exposed to anyone with the above symptoms or a recent positive COVID-19 test?
Reminder – Mask are required to be worn while in the clinic
Reminder – No Guests, Patients only in Clinic
Pelvic Floor HealthUrinary Incontinence
Hypothyroid & Hashimoto’s Thyroiditis
PCOS-Polycystic Ovarian Syndrome