Have you, your child, or others accompanying you to today’s appointment been tested positive for or been diagnosed as having Covid-19?
If so, when?
Do you, your child, or others accompanying you to today’s appointment have:
Do you have fever or have you felt hot or feverish recently (14-21 days)?
Are you having shortness of breath or other difficulties breathing?
Do you have a cough?
Any other flu-like symptoms, such as gastrointestinal upset, headache or fatigue?
Have you experienced recent loss of taste or smell?
Are you in contact with any confirmed COVID-19 positive patients?
Is your age over 60?
Do you have heart disease, lung disease, kidney disease, diabetes or any auto-immune disorders?
Have you traveled in the past 14 days to any regions affected by COVID-19? (as relevant to your location)
If any of you have any of these symptoms or have recently tested positive for or been diagnosed with Covid-19, you will be asked to reschedule your orthodontic appointment.