To ensure the safety of our employees and visitors, Sterne, Kessler, Goldstein & Fox is requiring all outside visitors to complete this Health Attestation form prior to entering the office.

This requirement is in accordance with local and federal rules and guidance related to the current pandemic. After reviewing this form, Sterne Kessler may require additional information or further follow up action.

"*" indicates required fields

Are you fully vaccinated against COVID-19?*
Unvaccinated visitors will be required to wear a mask and provide proof of a negative rapid test result administered the same day prior to entering, or upon entering the Sterne Kessler office. Self-administered rapid tests will be made available at the firm. Please note, if you are using a firm-provided rapid test, you must arrive at the firm 30 minutes before your appointment.
If you are not fully vaccinated, have you taken a rapid test today prior to your arrival at Sterne Kessler’s office? If so, please indicate your result.*
In the last 14 days, have you experienced any of the following?*
In the last 7 days, have you taken a COVID test?*
Upon entering Sterne Kessler's office, I agree to abide with the following requirements:*