Cityplace Dental Group

COVID-19 Safety Protocols

Our Extra Safe, Safety Protocols

We are looking forward to seeing you again at Cityplace Dental Group! We have taken extra care to ensure your visit is safe, comfortable and easy.

It is our top priority to keep our patients safe, and we remain committed to following strict guidelines and safety protocols.

Our Safety Protocols

Enhanced patient protection measures: All of our staff are fully vaccinated and have upgraded their protective gear. This includes appropriate personal protective equipment (PPE), high volume evacuation for aerosol control, and infection control protocols that go beyond the provincial standard. All surfaces are meticulously cleaned and disinfected, and all individuals entering the clinic are pre-screened.

Our Dental Services

COVID-19 Pre-Screening Form

If you have an upcoming appointment at Cityplace Dental, please feel free to complete our pre-screening form below within 24 hours of your visit.

Patient Name*
First

Last

Email*

Upcoming Appointment Date

Do you have a new onset, or worsening, of any ONE of the following symptoms: Fever >38°C or subjective fever/chills, cough, sore throat/hoarse voice, shortness of breath/breathing difficulties, loss of taste or smell, vomiting or diarrhea for more than 24hrs?*YesNo

Do you have a new onset, or worsening, of any TWO of the following symptoms: runny nose, muscle aches, fatigue, conjunctivitis (pink eye), headache, skin rash of unknown cause, nausea or loss of appetite, poor feeding (if an infant)?*YesNo

Have you travelled internationally in the last 14 days and are required to self isolate (quarantine)?*YesNo

I confirm that I am filling this form out to the best of my knowledge, and that my attendance at any and all appointments at Cityplace Dental Group, today and hereafter, are in adherence with current provincial Public Health orders.*YesNo

Today Date

COVID-19 Safety Protocols

Our Extra Safe, Safety Protocols

Our Safety Protocols

Our Dental Services

COVID-19 Pre-Screening Form

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