Survey | Enamel Dental

1. Are you experiencing any of the following symptoms of COVID-19? Cough, sore throat, shortness of breath, muscle pain/body aches, runny nose, sneezing, loss of taste or smell, fever, nausea, extreme fatigue.YesNoIf you are experiencing symptoms, please contact our office to reschedule your appointment.

2. Have you been in close contact with a suspected or confirmed case of COVID-19 in the last 10 days?YesNoIf you answered Yes to the above question, please contact the office to discuss if there is a need to reschedule your appointment.

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3. I verify that the answers I provided on this form are truthful and honest. It is my responsibility to notify the office if any of the answers change before my appointment.YesNo

Please enter the office wearing a mask and we will ask that you use the hand sanitizer or wash
your hands in the washroom when you arrive. Thank you.

Monday:	10:00am to 7:00pm
Tuesday	8:00am – 6:00pm
Wednesday:	8:00am - 6:00pm
Thursday:	8:00am – 6:00pm
Friday:	Closed
One Saturday /Month:	9:00am - 4:00pm