Please read the following:
Have you or anyone in your household felt hot or feverish recently (14-21 days)?
Have you or anyone in your household experienced recent COVID-19 related symptoms such as, but not limited to: fever of 100.1 or above, new loss of taste or smell, fatigue, muscle or body aches, nausea or vomiting?
Have you or anyone in your household recently came in contact with a COVID-19 positive patient?
If you answer "No" to all questions, please continue to sign below.
Any "Yes" answers may indicate a deeper discussion with the dentist before proceeding with elective dental treatment. For any "Yes" answers, please call our office so we can speak with you directly about your appointment.
Rock Island 309-786-7782