Flourish Dental

Covid-19 Prescreening

Digitally filling them out and submitting them prior to your appointment will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our dental office if you have any questions at all.

COVID-19 Pandemic Dental Treatment
Consent Printable Form

Clinic Safety Protocols 

  • Please wear a face mask or face covering to the office
  • Come alone to the appointment unless accompanying a minor or patient has a caregiver/ translator
  • Arrive in time for your appointment, please call our reception at 780-540-8155 and we will advise you when your treatment suite is ready
  • As soon as you enter the clinic we will take your temperature and you will be asked to sanitize your hands with an alcohol based sanitizer at the reception.
  • We will need your completed and signed COVID-19 Dental treatment consent form which is available on our website, or we can give you one to complete at the office.
  • If you are experiencing any COVID-19 symptoms, please call to reschedule your appointment.
Covid-19 Consent

We are taking all necessary COVID-19 safety precautions as advised by the Alberta Dental Association & College. 

Please notify our staff before your appointment if you or someone you are in close contact with have recently traveled outside of Canada or if you have been exposed to someone else who was diagnosed with COVID-19 or who was quarantined as a precaution.

If you have an illness or are exhibiting symptoms, we recommend you cancel and reschedule your dental appointment. Some illness and symptoms include:

• Flu-like symptoms • Fever or Nausea
• Cough • Sore Throat • Shortness of Breath
• Difficulty Breathing or Chest Pain •Runny Nose

Thank you for your cooperation.