COVID-19 Patient Screening Questionnaire

As the coronavirus (COVID-19) pandemic continues, we are monitoring the situation closely and following the guidance from the Centers for Disease Control and Prevention and our local health authorities. We remain committed to serving our patients during this time.
The safety of our patients and staff is our top priority. To prevent the spread of COVID-19 and reduce potential exposure, we ask that you complete our COVID-19 Screening Questionnaire prior to visiting your Liberty Doctors provider. If you have any questions or concerns, please contact your Liberty Doctors office.

Instructions for Completing the Screening Questionnaire:

Please select your Liberty Doctors office from the list below.
You will be directed to the screening questionnaire.