Because Life is Better with Teeth

Patient Screening Questionnaire Covid-19

Patient Screening Questionnaire Covid-19

Must be below 100.4 degrees

Do You Currently, or Have You Experienced Within the Past 14 Days, Any of the Following Symptoms?

Please be aware:

The following patients are discouraged from receiving any dental care other than essential care (for an issue that could become an emergency if treatment is delayed) or emergency care due their high risk status as defined by the Centers for Disease Control:

  • Patients age 65 or older
  • Patients who are pregnant
  • Stroke survivors
  • Patients who are immunocompromised or who have other chronic health conditions including but not limited to the following:
    • Lung disease (including asthma)
    • Lupus
    • Diabetes
    • HIV  
    • Chronic heart disease