Knowledgebase: Mask Fit Testing
Synergy Mask Fit Testing Health Assessment Form
Posted by Shaila Gupta, Last modified by Shaila Gupta on 20 August 2018 03:51 PM

Attentional all Mask Fit Testing participants, you must complete the attached health assessment form and bring it with you to your Mask Fit Testing appointment.  

PLEASE DO NOT EMAIL OR FAX IN THIS FORM

To access the form and print it out, please CLICK HERE



Attachments 
 
 Mask Fit Testing Health Assessment (2016).pdf (528.61 KB)
 Mask Fit Testing Health Assessment (2018).pdf (292.44 KB)