COVID Form If you have any questions please call us at: 212-661-3939 Name * First Name Last Name Email * Have you or anyone accompanying you today tested positive for COVID-l9? * Yes No Have you or anyone accompanying you today traveled abroad in the past 14 days? * Yes No Have you or anyone accompanying you today showed symptoms of COVID-l9 in the past l4 days? {Dry cough, sore throat, fever, conjunctivitis, diarrhea, difficulty breathing, Loss or smell or taste, lethargy, runny nose) * * Yes No Thank you for completing the covid form. Please submit your answers by clicking the button below. You will then be redirected back to the locations page. Choose your location form to complete your request. A team member will be in touch with your momentarily to confirm the appointment. * Type in your name to confirm and accept. Thank you! You are now being redirected to the All Locations page to complete your appointment request.
