COVID-19 Visitor Health Attestation

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.
* required information
Are you fully vaccinated against COVID-19?
In the last 14 days, have you experienced any of the following?
In the last 14 days, have you taken a COVID test?
Upon entering Sterne Kessler's office, I agree to abide with the following requirements: