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.
Are you experiencing any flu symptoms or have been around someone that has tested postive for Covid 19 in the past 5 days?
I confirm that the information given in this form is true.
Thanks for submitting!