COVID-19 | mgsattorneys

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First Name

Last Name

Email

Phone

Date of visit.

Time of Visit

Have you experienced a fever or illness within the last two weeks?

Yes

No

You agree to notify MGS if you become ill within the next two weeks.*

What is your temperature right now as measured by the MGS thermal thermometer?

Below 99.5

99.5 or above - PLEASE CLICK SUBMIT BELOW AND THEN LEAVE THE OFFICE IMEDIATELY!

Thanks for submitting!