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baby and rojas orthodontics

COVID-19 Screening Questionnaire

Please fill out this questionnaire form. The questionnaire must be completed TWICE:   First, TWO WEEKS BEFORE your appointment, and secondly, on the DAY OF your appointment.  Failure to complete these steps could result in you being turned away.  These steps are required due to guidelines provided by the Ministry of Health and our Royal College. 

ALL PUBLIC WASHROOMS ARE CLOSED Please be sure to use facilities BEFORE coming to your appointment.

BRUSH YOUR TEETH BEFORE YOUR APPOINTMENT If the mouth is very dirty, we may need to reschedule your appointment

ONLY PATIENTS ARE ALLOWED TO ENTER THE LOCKED BUILDING

ALL PATIENT MUST BE WEARING A MASK, SCARF OR CLOTH OVER THEIR NOSE AND MOUTH TO ENTER Because of the lack of PPE, masks will NOT be supplied by our office. You must have a mask or covering to enter.

ALL PAYMENTS CAN BE DONE VIA ETRANSFER OR CREDIT CARD PRIOR TO APPOINTMENT

  • Do you have any of the following symptoms:

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