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Covid19 Patient Form

Covid19 Patient FormSpencer2023-03-07T09:59:44-08:00
  • COVID Health Questionnaire Form

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  • Do you, your child, or others accompanying you to today’s appointment or other recent acquaintances have any of the following symptoms:

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  • Consent for Care Form

    New patients complete Section 1 and 2. Existing Patients complete Section 2 only.
  • Section 1 (For New Patients only)

  • Section 2 (For All Patients)

    Supplemental Informed Consent for Orthodontic Treatment in the Era of Covid-19

  • This field is for validation purposes and should be left unchanged.
Clear Advantage Dental & Orthodontic Clinic
Clear Advantage Dental & Orthodontic Clinic
650 West 41st Ave, Suite 315 South Tower
Vancouver, BC, Canada V5Z 2M9
604.266.8277
info@clearadvantageortho.com

Hours:
Monday - Friday 9:00am-5:00pm
Clear Advantage Dental & Orthodontic Clinic
464 Granville Street
Vancouver, BC, Canada V6C 1V4
604.266.8277
info@clearadvantageortho.com

Hours:
Wednesday – 12.00pm – 7.00pm
Thursday – 12.00pm – 8.00pm
Friday – 12.00pm – 6.00pm
Saturday – 10.00am – 6.00pm
Sunday – 10.00am – 6.00pm
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