Please print the following forms and bring them with you to your appointment.
In order to safeguard our dental office and the rest of our community, we ask that you arrive at the office wearing a face mask. You will not be allowed entry without a face mask. If we have an adequate patient protective equipment (PPE) supply, we will provide you with a new face mask before you leave our office.
If you are experiencing any symptoms related to COVID-19, we ask that you do not come to our office at this time. Symptoms are indicated below:
This list is not all inclusive.
Please consult your medical provider if you have any other severe symptoms that concern you. If you develop any of the following symptoms (warning signs) for COVID-19, seek emergency medical attention immediately:
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