
Updated 8/29/22
You’ll receive an automated email 36 hours prior to your appointment which prompts you to complete the brief survey below.
Read about my updated procedures and precautions here. I welcome you to contact me with any questions!
In the last two weeks, have you …
1. … had contact with anyone with respiratory illness or a confirmed or probable case of COVID-19?*
– Yes
– No
If yes, please contact me at (971) 341-9546 or betsygordon.LAC@gmail.com. I may choose to reschedule your appointment but you won’t be charged a fee.
2. … experienced any of the following symptoms? (* – not related to a pre-existing condition)*
– New cough*
– New shortness of breath*
– Difficulty breathing
– New fever, or feeling feverish
– New chills, or repeated shaking with chills
– New fatigue*
– New body aches or muscle pain not caused by a specific activity such as exercise
– New diarrhea*
– New nasal congestion*
– New sore throat*
– New loss of taste or smell
– I have not experienced any of these symptoms.
If you select present symptoms, please contact me at (971) 341-9546 or betsygordon.LAC@gmail.com. I may choose to reschedule your appointment but you won’t be charged a fee.
3. Are you fully vaccinated against COVID-19?
– Yes
– No