WE NOW REQUIRE MASKS BE WORN TO ALL APPOINTMENTS IN COMPLIANCE WITH CALGARY CITY BYLAWS.
PLEASE BRING YOUR OWN MASK!
Please complete this form on the day before your next Dental Appointment!
To ensure the health and safety of both our patients and staff during the COVID-19 pandemic, we require submission of consent for patients and staff to attend appointments.
All patients are required to review and submit a consent form before coming in for their next dental appointment.
Please do not complete this form until 24 hours before your next appointment!
COVID-19 Patient Information
We have had to make changes to the way we see our patients. Our waiting room in now closed.
- We ask that you wait in your car for your appointment.
- If we have your mobile number you will get a text prior to your appointment so you can reply to it and let us know when you here for your appointment.
- You may also call when you arrive or knock on the door and wait outside until we let you know that we are ready for you to come inside the office.
- Only the patient that has an appointment will be allowed in the office. A Guardian or Caregiver may accompany the patient if needed. They must wear a mask if entering the treatment area.
- We will communicate about their dental visit after the appointment if the guardian or caregiver decides to wait outside the office.
- When you come into the office we ask that you use the provided hand sanitizer
- We will then ask you to fill out a consent form if you have not done so online all ready (No sooner than 24 hours before or you will be asked to fill out a new form).
- We will take your temperature before bringing you back to the treatment room.
It is very important we have up to date contact information at this time. Please email or call us to make sure your information is up to date.
PLEASE COMPLETE THE PATIENT CONSENT FORM BELOW:
* Required
CMOH Order 05-2020 legally obligates any person who has the following cough, fever, shortness of breath, runny nose, or sore throat (that is not related to a pre-existing illness or health condition) to be in isolation (quarantine) for 10 days from the start of symptoms, or until symptoms resolve, whichever takes longer. If they are exhibiting any of these symptoms, it is suggested they complete the COVID-19 Self-Assessment online tool to determine if they should be tested.
Thank you again from the entire Shawnessy Smiles team!