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Covid Form

Our goal is to provide a safe environment for our patients and staff and to advance the safety of our local community. This document provides the information we ask you to acknowledge and understand regarding the COVID-19 virus. The COVID-19 virus is a serious and highly contagious disease. The World Health Organization has classified it as a pandemic. You could contract COVID-19 from a variety of sources. Our practice wants to ensure that you are aware of the additional risks of contracting COVID-19 associated with dental care.


The COVID-19 virus has a long incubation period. You or your healthcare providers may have the virus and not show symptoms and yet still be highly contagious. Determining who is infected by COVID-19 at a given time is challenging and complicated. Due to the frequency and timing of visits by other dental patients, the characteristics of the virus, and the characteristics of dental procedures, there may be an elevated risk of you contracting the virus simply by being in a dental office. Dental procedures create an ultra-fine water spray that can linger in the air thereby allowing for transmission of the COVID-19 virus to those nearby. You cannot wear a protective mask over your mouth to prevent infection during treatment as your health care providers need access to your mouth to render care. This leaves you vulnerable to COVID-19 transmission while receiving dental treatment.

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