I understand that:
1. I will be required to wear a mask or face covering throughout my time at Weinstein Imaging Associates.
2. I will not be able to have anyone accompany me into the office, except that obstetrical patients, minors, and patients who do not speak English may be accompanied by one family member.
3. To promote social distancing, Weinstein Imaging recommends that I communicate with the office via cell phone upon arrival at the parking lot to know when it is my turn to enter the office.
By submitting the information below, you are electronically signing this form.