Smile365 Dental takes great pride in our high levels of infection control and sterilization. Our goal is to make our office as safe as possible for our patients and our team. We follow the guidelines set by our governing bodies including the BC centre for Disease Control (BCCDC), the College of Dental Surgeons of BC (CDSBC), WorkSafe BC and the office of the Public Health Officer. Although there has yet to be a documented case of COVID-19 transmission in a dental office in Canada, we must not take this for granted and are dedicated to continuing to ensure the highest level of safety for our patients. At this time, our governing bodies mandate that the following information be reviewed with you prior to any appointment.

I understand the novel coronavirus causes the disease known as COVID-19 and that it is currently a pandemic. I understand 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, it is recommended to stay home and avoid close contact with other people when at all possible. I understand the federal and provincial governments have asked individuals to maintain social distancing of at least 2 metres (6 feet) and I recognize it is not possible to maintain this distance while receiving dental treatment. I understand that it is possible that oral surgery/dental procedures can create water and /or blood spray, which may be one way that the novel coronavirus can spread. The ultra-fine nature of the spray can linger in the air for minutes to sometimes hours when insufficient air exchange is taking place, which can transmit the novel coronavirus. At Smile365 Dental, we are taking steps to minimize the creation of aerosols, and to increase air exchange and filtration to ensure an environment that is as safe as possible for patients and our team. I understand that due to the visits of other patients, the characteristics of the novel coronavirus and the characteristics of dental procedures, there is possibly elevated risk of contracting and spreading the novel coronavirus. I confirm that I do not have any two or more of the following symptoms of COVID-19: fever, new or worsening cough, sore throat, runny nose or headache.

I verify the information I have provided on this form is truthful and accurate. I have reviewed the above paragraph and consent to have dental treatment completed.