COVID Patient Consent / Questionnaire

In recognition of ongoing news reports and the continued spread of the COVID-19 virus, we realize our patients have questions. As dedicated health care professionals, we want you to know that we remain as diligent as ever in protecting the health and safety of our patients and staff. Our practice strictly adheres to and exceeds the standards for infection control by wearing personal protective gear, using hospital-grade disinfectants, practicing the latest sterilization protocols, utilizing single-use disposable materials, and more. Every effort we have in place is to ensure the safety of our patients and staff. We want you to know that we are monitoring this situation very closely, and we will keep you updated regularly.

You may preregister with our office by filling out our secure online Covid-19 Questionnaire Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Covid-19 Questionnaire

In addition, we ask that you click here: SCHEDULED PATIENT PROTOCOL to review our new procedures.  Together we may safely continue your treatment.