Covid-19 Health Form
We have adopted a number of new office procedures to ensure your safety and the safety of our staff. Please fill out this form and press submit at the bottom. Thanks very much, Dr. Gina Ball.
Please fill out 24 hours prior to your appointment.
We have implemented new procedures to help keep all of us safe and stop the spread of Covid-19. We may look different with our PPE on, but we promise it is still us underneath it!
Please brush and floss before your appointment. Our tooth brushing station is closed for now.
Please stay in your vehicle and call us when you arrive for your appointment. We will advise you if you may come up to the office. If we are not ready for you we will call back and let you know when you may come to the office.
Only the patient is allowed in the office. We will make accommodations if there is a need for someone to accompany the patient for such things as age. Please discuss this with us prior to the appointment so we can prepare. The accompanying person must wear a mask and answer health questions. Please ensure you have your own mask as we are not able to provide one for you.
A member of our staff will meet the patient at the door, give them some hand sanitizer to use, and take their temperature and verbally confirm they feel ok.
When the appointment is over the patient will again use the hand sanitizer as they leave the office.