Dr. Jenny Hawkins, DDS
Dr. Denise Mullinix, DDS
Dr. Antonia Neal, DDS
Sleep + Health
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COVID-19 Declaration Health Form
Please fill out
the following health declaration form in order to continue with an appointment. Submissions are valid up to 24 hours prior to the appointment.
My body temperature is lower than 99.1˚F
Are you experiencing any flu symptoms?
Have you been around someone that has tested positive for the Covid-19 virus in the last 2 weeks?
I confirm that the information given in this form is true.
Thanks for submitting!