Smile Designing

COVID-19 Patient Screening

  • All patients are required to complete the following questionnaire before their appointment and prior to commencing any recommended dental procedures. You will be rescreened upon entering the office. If you screen positive for covid-19 at any point, we will ask that you delay your visit by at least 14 days.

    Please submit your answers promptly. If no response is received 24hrs prior to your scheduled appointment we will attempt to contact you by phone. If we cannot reach you to complete this medical questionnaire your appointment will be cancelled.

  • Date Format: MM slash DD slash YYYY
  • - Delirium
    - Unexplained or increased number of falls
    - Acute functional decline
    - Worsening of chronic conditions

  • (If you are unsure, please provide your pharmacy telephone number here and we will request a list on your behalf)

  • Date Format: MM slash DD slash YYYY

Appointments

Smile Design Dentistry
19 Dundas Street West,
Mississauga, L5B 1H2
Phone: 905-270-5112
Email: info@smiledesigning.ca
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CONTACT OUR MISSISSAUGA DENTAL OFFICE

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Phone
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905-270-5112




Location
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19 Dundas Street West,
Mississauga, ON L5B 1H2


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