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COVID-19 Pre-Screening Questionnaire – Existing Patient

  • Envision Optique is firmly committed to protecting our patients and staff from Covid-19. While local restrictions are being eased, we are maintaining guidelines for social distancing, protective masks, and reduced traffic while in the office. Additionally, we are measuring no-touch body temperature and dispensing hand sanitizer upon arrival. Finally, we are asking all our patients to fill out this short questionnaire.

    Please Note: Due to restricted scheduling, we are strictly enforcing our Broken Appointment Policy.

    (We require 24Hr. notice of changes to confirmed appointments, subject to $50 charge)

  • Thank-you for your cooperation during this difficult time!