Patient Screening During COVID Pandemic
To ensure the safe care of both our team and patients, including you, we kindly ask that you fill out the following form prior to your visit today. Thank you for your understanding.
By checking the box below, I acknowledge that I am not currently ill to the best of my knowledge and fully understand that by going out in public, including Madison No Fear Dentistry, I could be exposing myself to the COVID-19 Virus. I further understand that Madison No Fear Dentistry is following all ADA and CDC protocols to protect its patients and employee's.