Waterfront Dentistry By Pauls

613-966-1225

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COVID Forms and FAQs

Dentistry is HIGH RISK as it deals in the UPPER RESPIRATORY AREA!
 
Below are a selection of forms for completion BEFORE ANY TREATMENT can be done.

 
Please Click on the links below, print off, complete and scan / photo back via email to:  patricia.waterfrontdentistry@gmail.com

OR ( if you have no access to a printer )

STEP 1: Please open the forms by clicking on it.
STEP 2: It should open in Adobe PDF Reader (a free program installed on most computers) where you should be able to fill in your answers, and then save to your computer using the File-->Save As option in the top left corner of Adobe Reader.
STEP 3: Finally email it to our office at: patricia.waterfrontdentistry@gmail.com by attaching this file you have saved on your computer using your normal email program.

FORM 1: Patient Screening Form

FORM 2: COVID-19 Pandemic Dental Risk Form

FORM 3: Medical History Form (to be completed by EXISTING Clients)

or

FORM 4: Medical History Form (to be completed by NEW Clients)

Although we are an assignment office ( we deal with your insurance directly ), with new protocols in place, we advise you to contact your insurance company and get the proper breakdown of your benefits so that there will be no surprises. We need a credit card ( or any other method of payment ) on file to cover your co-pay.

Here is a list of questions to ask your provider: