Covid-19 Info

Patient Safety At Shoreham Dental Is A Top Priority!

We Have Implemented Several Measures to Allow Us to Safely Provide Your Treatment Including:

• Plexiglas barrier at the reception area
• Surgically Clean Air technology to purify and sterilize every cubic square foot of air in the clinic
• Extraoral evacuator system 
• Hospital grade Personal Protective Equipment (PPE)
• Hospital grade disinfectants
• Active screening of every patient and staff member for signs of respiratory illness
• Reduced number of individuals in the clinic at any time
• All public touch-points are cleaned several times throughout the day
• Hand sanitizers located in each room

COVID-19 (Coronavirus) Screening
Questionnaire & Patient Acknowledgement Form

At Shoreham Dental, the health and safety of our patients and staff has always been our top priority. To
ensure we are providing the safest environment possible to deliver dental care, we kindly ask you to please
complete this brief questionnaire prior to your appointment. This has been mandated by the Royal College of Dental
Surgeons of Ontario for everyone’s safety. We appreciate your help and understanding with this measure.
If the answer to any of the following questions is YES, please inform our reception staff IMMEDIATELY for further instruction. Thank you.

Download this FREE PDF Editor to fill out this form on your phone or desktop computer.

In Our Effort to Create a Safe Environment, We Ask for Your Cooperation:

• Please expect a non-contact temperature check on arrival
• Please expect screening on arrival:
  – questions related to signs of respiratory illness
• Please expect to review and sign the newly mandated wellness/treatment consent form
• We ask that you come for your appointments ALONE, to facilitate distancing
• Please arrive for your appointments at the scheduled time, not earlier
• Each patient, upon entry and before leaving, must use the hand sanitizer provided
• In the waiting room, please maintain physical distancing as much as possible
• Please follow the instructions of our staff

We Appreciate Your Patience and Cooperation!