Receiving Dental Treatment During the COVID-19 Pandemic

Dear Patient:

While our office complies with State Health Department and the Centers for Disease Control and Prevention infection control guidelines to prevent the spread of the COVID-19 virus, we cannot make any guarantees.

Our employees are symptom-free and, to the best of their knowledge, have not been exposed to the virus. However, since we are a place of public accommodation, other persons (including other patients) could be infected, with or without their knowledge.

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.

Do you have a fever?

Do you have any shortness of breath?

Do you have a dry cough?

Do you have a runny nose?

Do you have a sore throat?

Have you been diagnosed with COVID-19 currently or in the past?

If YES, what was the date of diagnosis?

*If your answer is YES to any of the following questions, and you have an upcoming appointment, please contact us so we may speak to you about it further.*

Our main office line is (920) 494-9541.