COVID-19 Patient Screening Form
In an effort to reduce communal spread of COVID-19, and improve the health and safety of all patients and staff, we require this screening assessment to be completed on the day of your visit to our office in accordance with the Royal College of Dental Surgeons and Public Health Ontario. The well-being of everyone is our top priority and we appreciate your understanding during this time.
The questions on this form are based on the New "Ontario Covid -19 Self-Assessment" and have been revised as of July 10, 2022.  This form is a government required before patients are seen in our office.  We appreciate your diligence.

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