Patient Acknowledgement:

COVID-19 PANDEMIC DENTAL RISK

Please read the patient acknowledgement below, and check the indicated boxes.

Consent*

I understand the novel coronavirus causes the disease known as COVID-19 and that it is currently a pandemic. I understand that the novel coronavirus virus has a long incubation period during which carriers of the virus may not show symptoms and still be contagious. For this reason, I understand that the federal and provincial authorities have recommended that Ontarians stay home and avoid close contact with other people when at all possible.

Consent*

I understand the federal and provincial authorities have asked individuals to maintain social distancing of a least two (2) meters (six (6) feet) and I recognize it is not possible to maintain this distance while receiving dental treatment.

Consent*

I understand that oral surgery/dental procedures can create water and/or blood spray, which is one way that the novel coronavirus can spread. I understand that the ultra-fine nature of the spray can linger in the air for minutes to sometimes hours, which can transmit the novel coronavirus.

Consent*

I understand that due to the visits of other patients, the characteristics of the novel coronavirus, and the characteristics of dental procedures, that I have an elevated risk of contracting the novel coronavirus simply by being in the dental office.

Consent*

I agree to complete a COVID-19 screening questionnaire as required by the Ministry of Health

If I received COVID-19 test results in the past three (3) months,*

The last results I received were negative.
I received a letter from Public Health clearing me.
NA

Approximate Date of Test*

Consent*

I confirm that I am not waiting for the results of a test for COVID-19.

Consent*

I confirm that this is not currently a period during which public health authorities required I self-isolate.

Consent*

I verify the information I have provided on this form is truthful and complete. I knowingly and willingly consent to have emergency surgical/dental treatment completed during the COVID-19 pandemic.

Patient Name

First Last

Signature of Patient or Guardian*

Name

This field is for validation purposes and should be left unchanged.