Patient Screening Form

	PRE-APPOINTMENT	IN-OFFICE
1.) Do you/they have fever or have you/they felt hot or feverish recently (14-21 days)?
2.) Are you/they having shortness of breath or other difficulties breathing?
3.) Do you/they have a cough?
4.) Any other flu-like symptoms, such as gastrointestinal upset, headache or fatigue?
5.) Have you/they experienced recent loss of taste or smell?
6.) Are you/they in contact with any confirmed COVID-19 positive patients? Patients who are well but who have a sick family member at home with COVID-19 should consider postponing elective treatment.
7.) Are you/they in contact with any confirmed COVID-19 positive patients? Patients who are well but who have a sick family member at home with COVID-19 should consider postponing elective treatment.
8.) Is your/their age over 60?
9.) Do you/they have heart disease, lung disease, kidney disease, diabetes or any auto-immune disorders?
10.) Have you/they traveled in the past 14 days to any regions affected by COVID-19? (as relevant to your location)

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Positive responses to any of these would likely indicate a deeper discussion with the dentist before proceeding with elective dental treatment. For testing, see the list of State and Territorial Health Department Websites for you specific area's information.
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