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Can you answer “Yes” to any of the following statements?
- I am in one of the following Vulnerable groups related to COVID-19
- Moderate to Severe Asthma
- Chronic Lung Disease
- Diabetes
- Serious Heart Condition
- Chronic Kidney Disease
- Chronic Liver Disease
- Age 65 or above
- Immunocompromised (including medications, cancer treatments, transplants, HIV)
- I do not want to enter a public healthcare office/setting that possibly could expose me to the COVID-19 virus
Within the last 14 days-
- I have tested positive for COVID-19
- I have been in contact with someone that has tested positive for COVID-19
- I have had a fever of 100.4 degrees or above
- I have had trouble breathing or had shortness of breath
- I have felt ill or sick
- I have traveled on a commercial airline internationally