Orthodontic Treatment in the Era of Communicable Diseases
If you have been exposed to a communicable disease, you may spread the disease to the practitioner, orthodontic staff, or other patients/parents in the practice. Therefore, prior to each appointment, we will be asking for you to complete this screening form for you, or your child,
Patient Signature: By typing out your name below you acknowledge that you have answered all questions honestly and to the best of your ability. Additionally, you understand that if the answer to any of these questions was yes, you may be asked to reschedule the orthodontic appointment to a later date.
Dr. Angelina Y. C. Loo Inc.
5687 Yew Street, Suite 307
Monday (Admin only) 8:00am – 4:30pm
Tuesday 8:00 am – 5:00 pm
Wednesday 8:00 am – 5:00 pm
Thursday 8:00 am – 5:00 pm
Friday 7:45 am – 4:30 pm
One Saturday a month 7:45 am – 4:30 pm
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