Please complete if instructed to do so by our staff when scheduling your appointment.
AAOIC Supplemental Informed Consent PDF
Patient Health Questionnaire - Online
OUR CONTINUED COMMITMENT TO SAFETY
Following Governor Hogans recent announcement we wanted to take a moment to share our commitment to safety and quality care. Now more than ever we are dedicated to taking care of our patients and staff and we hope you will feel safe as we continue to navigate the months ahead.
No walk ins – you must have an appointment!
Please note, appointment availability will be limited since we continue to see less patients in the office as an attempt to maintain and promote social distancing.
We request your cooperation and flexibility in accepting appointment times when offered, though we will do our best to accommodate your schedule.
Please provide 24 hours’ notice if you’re unable to keep your appointment.
Adult patients please enter the office alone.
Young patients may present with one guardian. Please do not bring additional siblings to an office visit.
All patients are required to wear facial covering at all times. Covering will only be removed in the operatory area during clinical treatment time.
Please brush your teeth at home prior to your visit. We have removed all brushing stations in the office.
All patients will be asked to swish with mouthwash and suction will be used to remove the mouthwash (no spitting).
No food or drink is to be brought into the office.
We understand that there may be certain situations that require exceptions to the new procedures. Please CALL our office to make arrangements.