Covid Health Screening

  • 1
    Health Screening for Vipers Facility Access
  • 2
    Has the player had any of the following symptoms in the past 24 hours?
  • 3
    Contacts
  • 4
    Waiver
  • 5
    Health Screening Preview
  • 6
    Complete
Please select the Vipers team for this order.
Please enter the player's first and last name.
Specify email you would like confirmation of submitting this screening.
FORM MUST BE FILLED OUT ON THE DATE OF USE.