Health Screen For Adults

1. Do you have a fever or have felt hot or feverish in the past 14-21 days?
2. Are you having shortness of breath or other difficulties breathing?
3. Do you have a cough?
4. Do you have any orther flu-like symptom like gastrointestinal upset, headaches, or fatigue?
5. Have you experienced any recent lost of taste or smell?
6. Have you or any family members been in contact with any COVID-19 positive patients?
7. Do you have heart disease, lung disease, kidney disease, diabetes, or any auto-immune disorders?
8. Have you traveled to any regions heavily affected by COVID-19?

Notes:

  • Positive responses to any of these questions indicate a deeper discussion with Dr. Hsieh before proceeding with the appointment.
  • If you need to be tested and are a resident of Pleasanton, Livermore, or Dublin, then there is a regional testing site at the Alameda County Fairgrounds (click here to download PDF with more information.)
  • If you need to be tested and do not live in Pleasanton, Livermore, or Dublin, then click here to find a COVID-19 testing site near you