Vivent Health MPX eScreening

To make proper use of limited resources please complete the following electronic assessment. Vivent Health will contact you shortly with information, resources, and for scheduling of in person appointments as availability exists.


Any information supplied will be used by Vivent Health for the purpose of assisting with patient and client navigation. No personal information will be shared without each patients explicit consent.

Are you currently experiencing a new skin, genital, or anal rash (redness, bumps, lesions, sores, etc)?
Have you recently been in close contact with someone who has tested positive for Monkey Pox?

Close contact includes: direct skin-to-skin contact, unmasked face-to-face contact within 6 feet for 3 hours or more, or direct contact with contaminated clothing or bedding.

Have you had multiple OR anonymous sexual partners in the past 14 days?
Are you currently under the care of a Vivent Health Medical Provider?

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