This self-screen tool is intended to help keep both our clients & employees safe during the current COVID 19 pandemic. Please read the following survey completely.
Today or in the last 24 hours have you experienced new or worsening symptoms of any of the following?
- Feel like you have a fever?
- Unexplained muscle pain/body aches?
- New or worsening cough?
- Trouble breathing?
- New loss of sense of taste or sense of smell?
- Sore throat, different from your seasonal allergies?
- New or worsening diarrhea (not consistent with chronic medical conditions)?
I attest to the following:
- Devices will need to be unloaded from the vehicle by the user & clients must wear a mask when interacting with employees.
- User needs to be out of the device for appointment, we are unable to provide assistance with transferring out of the device.
- I will arrive 15 minutes prior to my scheduled appointment time, if I am late for my appointment it will be rescheduled.
- I will not come to Therapeutic Specialties, Inc. if I have any symptoms of COVID-19 described in this screening tool.
- If I develop any symptoms of COVID-19 while I am at the office, I will immediately leave Therapeutic Specialties, Inc.
- If I develop any symptoms of COVID-19, I will not return to Therapeutic Specialties, Inc. until I have been cleared to do so.
- I will follow all of Therapeutic Specialties, Inc health and safety requirements, including wearing a mask, physical distancing and enhanced personal hygiene and hand-washing.
Respond YES to confirm, or NO to cancel your appointment.
Repair Department 314-291-9900