COVID-19 Screening Questionnaire

Here at Clarity Eye Center, we care about our patient’s safety and the safety of our team. Due to the spread of the COVID-19 this questionnaire MUST be completed 2 days prior to the patient’s arrival in our clinic. Any questionnaires done longer than 2 days before your appointment will not be valid. 

If you have any questions or concerns or you would like to verbally complete this form before your appointment,  please call our office at 512-244-7200.


Tips on how to slow the spread of COVID-19

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