Covid-19 Info

Covid-19 Info

We Remain Open During the Lockdown

Patient Safety At Shoreham Dental Is A Top Priority!

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


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:

We Appreciate Your Patience and Cooperation!

Book a New Patient Visit for only $149.99! Limited time offer. Includes 3 units of scaling, exam and x-rays. Conditions apply.