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We Are Open - Please Complete Our COVID-19 Screening Form Before Entering the Clinic

COVID-19 Screening Form

As you know, COVID-19 continues to evolve and it’s important for dental clinics to take the necessary precautions in order to stop the spread. With that said, we are conducting active screening for potential risks of COVID-19 with everyone entering our dental office, to ensure the safety and well being of everyone

Please answer the following questions - all fields are required

If your oral temperature is 37.8°C (100°F) or above, please reschedule your appointment. Note, your temperature will be taken once you enter the clinic.

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1 - 299 Wayne Gretzky Pkwy., Brantford, Ontario, N3R 8A5, Canada - 519-720-9119
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