Wellness Screening & Acknowledgement
Receiving Dental Treatment During the SARS-COV-2 Pandemic
While our office complies with the State Health Department and the Centers for Disease Control and Prevention infection control guidelines to prevent the spread of the SARS-COV-2 virus, we cannot make any guarantees. Exposure to communicable disease is unlikely but possible, just as it is in any public place. Our office will provide socially distant appointment scheduling, and also has added a number of new technologies and techniques to the practice to enhance our level of safety. However, due to the nature of orthodontic treatment, social distance is not possible between the orthodontic patient and clinical staff/doctor. Our staff 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 SARS-COV-2, we have asked you several screening questions below. For the safety of our staff, other patients, and yourself, please be truthful and candid in your answers.