SUPPLEMENTAL HEALTH QUESTIONNAIRE
Orthodontic Treatment in the Era of COVID-19
If you have been exposed to a communicable disease, you may spread the disease to the orthodontist, orthodontic staff, or other patients/parents in the practice. Therefore, prior to each appointment, we will be asking the following questions to reduce the chances of transmission:
Have you, your child, or others accompanying you to today’s appointment or other recent acquaintances tested positive for or been diagnosed as having COVID-19 or any other communicable disease?
Do you, your child, or others accompanying you to today’s appointment or other recent acquaintances have:
I understand that if the answer to any of these questions is yes, I will be asked to reschedule today’s orthodontic appointment.