Health and Acknowledgement Form

Please complete this form acknowledging your current health and acceptance of the terms and conditions of travel.

I am running a fever (body temperature over 100.4°F)
I have one of more of these symptoms: cough, sore throat, loss of taste or smell, shortness of breath
I have been in close contact with a Covid-19 patient in the last 14 days

505-889-8888 or 800-666-6786

1700 Louisiana NE, Suite 100

Albuquerque, NM 87110

  • Facebook Social Icon

Affiliated with:


new logo cropped.jpg