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Health Questionaire


Welcome to our

Manhattan Office

If you have been exposed to a communicable disease, you may spread the disease to the optometrist, optometric staff, or other patients/parents in the practice. Therefore, prior to each appointment, we will be asking the following questions to reduce the chance of transmission:

Do you, your child, or others accompanying you to today’s appointment, or anyone you have recently been in contact with have any of the following symptoms?

    (defined as above 99.6 degrees)
  • Date Format: MM slash DD slash YYYY