In order to reduce the risk of spreading COVID-19, we have asked you a number of “screening” questions below. For the safety of our staff, other patients, and yourself, please be truthful and candid in your answers.
It is important that you disclose to the office any indication of having been exposed to COVID-19. PLEASE share whether you have experienced any signs or symptoms.
Positive responses to any of these would likely indicate a deeper discussion with the dentist before proceeding with elective dental treatment.