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Covid Form

Covid Form

 
 PRE-APPOINTMENTIN-OFFICE
 
Do you/they have fever or have you/they felt hot or feverish recently (14-21 days)?
Are you/they having shortness of breath or other difficulties breathing?
Do you/they have a cough?
Any other flu-like symptoms, such as gastrointestinal upset, headache or fatigue?
Have you/they experienced recent loss of taste or smell?
Are you/they in contact with any confirmed COVID-19 positive patients?
(Patients who are well but who have a sick family member at home with COVID-19 should consider postponing elective treatment.)
Is your/their age over 60?
Have you/they traveled in the past 14 days?


Security Measure

Positive responses to any of these would likely indicate a deeper discussion with the dentist before proceeding with elective dental treatment.

All About Smiles Dental Center

  • All About Smiles Dental Center - 5101 29th Ave, Meridian, MS 39305 Phone: 601-482-2711 Fax: 601-482-7799

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