This patient disclosure form seeks information from you that we must consider before making treatment decisions in the circumstance of the COVID‐19 virus.
A weak or compromised immune system (including, but not limited to, conditions like diabetes, asthma, COPD, cancer treatment, radiation, chemotherapy, and any prior or current disease or medical condition), can put you at greater risk for contracting COVID‐19. Please disclose to us any condition that compromises your immune system and understand that we may ask you to consider rescheduling treatment after discussing any such conditions with us.
It is also important that you disclose to this office any indication of having been exposed to COVID‐19, or whether you have experienced any signs or symptoms associated with the COVID‐19 virus.
At Applewood Dental, we lend our commitment to excellence to all our dental procedures. We bring you a wide range of high-quality dental treatments for your cosmetic and general needs. Whether you are looking for whiter teeth, to replace a missing tooth, or protect the dental health of your children, Applewood Dental has you covered.
Give yourself the gift of a dazzling smile.
Restore the smile your thought you had lost.
Missing tooth? No one will be able to tell!
Cavity restoration without leaving a mark.
Get your smile back with custom-made dentures.
Protection is the first step to a lifetime of excellent dental health.
