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* 1. Do you obtain specimens for COVID-19 testing in your office?

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* 2. If yes, what type of specimen?

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* 3. Would you be able to obtain samples and obtain results to meet the needs of other clinicians (pre-procedure such as surgery) or for employers in your community?

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* 4. If yes, can MSSNY share your ability/ capacity to process samples and obtain results with other members?

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* 5. If yes, please provide your name and email address

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* 6. Are you linking specimen collection to a video, telephone or in-person billable visit for patient counseling and education?

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* 7. Do you have protocols, staff training and access to PPE to do this test safely?

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* 8. Do you have access to a laboratory to process your samples?

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* 9. Are you limited by the number of tests your lab can process for you?

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* 10. Have you ordered equipment to do your own CLIA-waived, in-office testing?

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* 11. If yes, when has your vendor indicated that you might receive this equipment?

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* 12. If you obtain equipment for CLIA waived in-office testing, how many tests can you process in a day?

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* 13. Are you currently performing COVID-19 antibody testing?

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* 14. If no, would you like to perform antibody testing?

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* 15. Your Location

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* 16. Additional comments

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