• Do you/they have a fever or have you felt hot/ feverish recently (14-21 days)? 
• Are you/they having shortness of breath or other difficulties breathing? 
• Do you/they have a cough? 
• Any other flu-like symptoms, such as gastrointestinal upset, headache or fatigue? Y
• Have you/they experienced recent loss of taste or smell? 
• Are you/they in contact with any confirmed COVID-19 positive patients?  
  •  Patients who are well but who have a sick family member at home with COVID-19 should consider postponing elective treatment.
• Is your/their age over 60? 
• Do you/they have heart disease, lung disease, kidney disease, diabetes or any auto-immune disorders? 
• Have you/they traveled in the past 14 days to any regions affected by COVID-19? (as relevant to your location) 

Positive responses to any of these questions will require a deeper discussion with the office before proceeding with elective dental treatment.   856-235-0905