The COVID-19 Consent & COVID-19 Screening forms are required to be completed before all appointments in order to be seen. You may be asked to update your health history at this appointment as well.  Please print and complete and email back to us within 48 hours of your appointment or bring along with you.  We will have forms available onsite to sign electronically if needed.

COVID-19 Consent
COVID-19 Screening

Dear Patients and friends,

We hope this letter finds you and your family in good health. As your dental health care team, we would like to thank you for continuing to partner with us as we navigate these unprecedented changes in health care. While many things have changed, one thing has remained the same: our commitment to your safety.

First and foremost, we want to reassure you that we are here for you. Our office is open, and we are available to see you to meet your dental care needs.

Infection control has always been a top priority for our practice and you may have seen this during your visits to our office.  Our infection control processes are made so that when you receive care, it’s both safe and comfortable.  We want to tell you about the infection control procedures we follow in our practice to keep patients and our team safe.

Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued.  We do this to make sure that our infection control procedures are current and adhere to each agencies’ recommendations.

You may see some changes when it is time for your next appointment.  We made these changes to help protect our patients and team.

  • Our office will communicate with you beforehand to ask some screening questions.  You’ll be asked these same questions again when you are in the office.  We will take your temperature with a touchless thermometer.  Your treatment may require a pre-procedural mouth rinse.
  • We are taking precautions to keep you safe in our office with additional deep cleaning, social distancing in our reception area, waiting for your appointment time to begin in your vehicle, and decreasing the volume of patients. Our office has also adopted universal masking by our team.
  • We are requiring patients to wear their own masks or face coverings when in our office to help decrease the risk of asymptomatic transmission. Unfortunately, our mask supplies are limited at this time, so we are not able to provide masks for patients.
  • To ensure the health and safety of all of our patients, we are asking that only the patient enter our building for their appointments.  Exceptions made for young minors, patients who medically require a support individual or a translator.
  • If you have experienced fever, respiratory symptoms, chills, loss of taste or smell, we request that you stay home and reschedule your appointment. If you are experiencing the above symptoms, Minnesota has created the following website to help determine who should be tested for COVID-19.  https://mn.gov/covid19/for-minnesotans/if-sick/
  • We are encouraging families to schedule together and will try our best to accommodate your schedule requests.

We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice.  To make an appointment, please call our office at 612-861-7109.

Thank you for being patient.  While these last two months have brought about uncertainty and unease, we feel fortunate to be your dental providers. We are here for you during this time, and will continue to meet your dental health needs in the safest possible way.

In gratitude,

The Dental Health Care Team