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COVID-19 Screening

COVID-19 Screening Form

As COVID-19 continues to evolve, it’s important for dental clinics to take the necessary precautions to keep patients and staff safe. We conduct daily screening of everyone entering our dental office for potential risks and to ensure everyone’s safety and well being.

    Please answer the following questions - all fields are required

    Your temperature will be taken by one of our team members once you enter our office. If your temperature is 37.8° C (100° F), your appointment will be rescheduled. If you have recorded your temperature at home and it is 37.8° C (100° F), we ask that you call the office to reschedule your appointment. Thank you for your cooperation.

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