COVID-19 Pandemic Dental Risk

Please read the acknowledgement below:

I understand that COVID-19 is currently a pandemic. I understand that the novel coronavirus has a long incubation period during which carriers of the virus may not show symptoms and still be contagious. For this reason, I understand that the federal and provincial authorities have recommended that Ontario residents stay home and avoid close contact with other people when at all possible.

Authorities have requested individuals to maintain social distancing of at least 2 meters and I recognize it is not possible to maintain this distance while receiving dental treatment.

I understand that due to the visits of other patients, the characteristics of the novel coronavirus, and the characteristics of dental procedures, that I have an elevated risk of contracting the novel coronavirus simply by being in the dental office.

By entering the dental office, I knowingly and willingly consent for myself (or my dependant) to have dental treatment completed during the COVID-19 pandemic.