• Wickham Dental Patient COVID-19 Screening Form

  • Due to COVID we are unable to use our waiting room. Please attend your appointment with appropriate clothing to wait outside, or wait in your car with a mobile phone we can use to call you when the room is ready. Please use the toilet and brush your teeth at home before attending. We apologise for any inconvenience caused. visiting-wickham-dental-during-the-coronavirus-pandemic

     

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  • By signing and submitting, I confirm that the information I have given is true, and that I am fit and healthy to attend Wicham Dental Practice. If you answer "yes" to any of the questions, we respectfully request that you reschedule you appointment.

    All information given will be treated confidentially. Wickham Dental Practice will will keep the information collected safely. Any personal information will not be disclosed unless as required by law, or with your express consent.

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