Karl A Arakelian, DMD
For the health and safety of our community, declaration of illness is required. Be sure that the information you'll give is accurate and complete. Please get immediate medical attention if you have any of the COVID-19 signs.
Please state whether you've experienced/are experiencing the following
Shortness of Breath
Loss of taste or smell
Have you been in contact with people being infected, suspected or diagnosed with COVID-19?
Have you traveled in the past 14 days?
I acknowledge that the information I've given is accurate and complete.
Should be Empty: