Based on your responses you may continue to come to the clinic for your appointment.
In the wake of current COVID 19 pandemic, I have come to Jayna Dental World for AN EMERGENCY TREATMENT. The doctors reserve the right to TREAT / DEFER / REFER me accordingly. If I happen to be an asymptomatic Carrier or an undiagnosed patient with COVID-19 disease, I suspect it may endanger doctors and clinical staff. It is my duty and responsibility to take appropriate precautions and follow the protocols prescribed by them. I also know and understand that I may get an infection from the dental clinic or from the doctor and I will take every precaution for this from happening, but I will not hold Doctor/s or the staff if such infection occurs to me or my accompanying person. I verify confirm and agree to behold accountable, regarding the details given by me are true to my knowledge and I agree to all the terms and conditions mentioned in this form.
- Maintain a 1.5 to 2 meter distance between you and everyone else.
- Please wear a mouth mask while entering the premises.
- On arrival disinfect your shoes.
- Disinfect your hands with sanitiser before and after your consult.
- Notify reception by phone on your arrival. We may ask you to wait outside or in your vehicle until our doctor is ready to see you.
- If you need to cough or sneeze, please cover your mouth and nose with your elbow and don’t wipe your hands on anything!
- Maximum one accompanying person will be allowed in the reception.