COVID -19 Patient procedure.
As part of your pre appointment screening, this form MUST be completed before your appointment. Please contact us if you have any questions. We ask you to to wear a mask to your appointment to help keep others safe around you (we will have masks available for those who do not have one) Please review our full COVID-19 Safety Plan before you arrive for your appointment.
Please read the patient acknowledgement below, and initial or sign in all areas indicated.
WE WILL NOT BE TREATING ANY PATIENT THAT HAS INCREASED RISK FOR COVID-19 INFECTION IN KEYSTONE DENTAL
Thank you for your patience during this changing time. This is new to our entire team and we appreciate your cooperation. Please expect rules to be fluid as we adjust to changes and adapting to what may or may not work.