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  • Book An Appointment
  • HOME
  • ABOUT US
  • PROCEDURES
    • Cleanings & Prevention
      • Dental Exams & Cleanings
      • Dental X-Rays
      • Digital X-Rays
      • Fluoride Treatment
      • Home Care
      • How to Properly Brush & Floss
      • Oral Hygiene Aids
      • Sealants
    • Dental Restorations
      • Composite Fillings
      • Root Canal Therapy
      • Crowns (Caps)
      • Fixed Bridges
      • Inlay Restorations
      • Onlay Restorations
      • Dentures & Partial Dentures
    • Cosmetic Dentistry
      • Porcelain Crowns (Caps)
      • Porcelain Fixed Bridges
      • Porcelain Inlays
      • Porcelain Onlays
      • Porcelain Veneers
      • Tooth Whitening
    • Periodontal Disease
      • What is Periodontal (Gum) Disease?
      • Diagnosis
      • Treatment
      • Maintenance
    • Nitrous Oxide Sedation
  • PATIENT CENTRE
    • Patient Forms
      • New Patient Form
      • Medical History Update
      • 5 Year Medical History Update
      • Covid-19 Patient Screening Form
      • COVID-19 Pandemic Dental Risk Consent
    • FAQs
  • BLOG
    • News
  • SERVICE AREAS
    • Guelph
      • Exhibition Park
      • Downtown Guelph
      • Riverside Park
      • Clairfields
      • Grange Hill East
      • Kortright Hills
      • Old University
      • St. George’s Park
      • Village by the Arboretum
  • Book An Appointment
  • Covid-19 Screening Form

    Guelph Royal Dental

    18 Douglas St,
    Guelph, ON N1H 2S9
    Phone: (519) 837-1870

  • DD slash MM slash YYYY
  • If you are immunocompromised, select “No.”
  • • Fever and/or chills
    • Extreme tiredness
    • Cough or barking cough
    • Sore throat
    • Shortness of breath
    • Runny or stuffy/congested nose
    • Decrease or loss of taste or smell
    • Headache
    • Muscle aches/joint pain
    • Nausea, vomiting and/or diarrhea

    Select “No” if all of these apply:
    • You have completed your isolation period, or you tested negative for COVID-19 on one PCR test or rapid molecular test or two rapid antigen tests taken 24 to 48 hours apart, and
    • You do not have a fever, and
    • Your symptoms have been improving for 24 hours (48 hours if you have nausea, vomiting, and/or diarrhea)
  • • You live with someone who is currently isolating because of a positive COVID-19 test
    • You live with someone who is currently isolating because of COVID-19 symptoms
    • You live with someone who is isolating while waiting for COVID-19 test results

    Select “No” if you:
    • are 18 or older and have received your booster dose, or
    • are 17 or younger and are fully vaccinated, or
    • completed your isolation after testing positive in the last 90 days (using a rapid antigen, rapid molecular, or PCR test)
  • • You live with someone who is currently isolating because of a positive COVID-19 test
    • You live with someone who is currently isolating because of COVID-19 symptoms
    • You live with someone who is isolating while waiting for COVID-19 test results

    Select “No” if you have already completed your isolation period because your symptoms started before your positive test result, and
    • you do not have a fever, and
    • your symptoms have been improving for 24 hours (48 hours if you have nausea, vomiting, and/or diarrhea
  • All the patients will be asked to sanitize their hands when arriving at the office.
    Any “yes” response (other than Q1) must be discussed with the managing dentist immediately.
  • DD slash MM slash YYYY

About Guelph Royal Dental

At Guelph Royal Dental Centre, we are committed to providing comprehensive dental care for the entire family. We offer a wide range of dental services, including periodontal surgeries and treatments. Offering most procedures in-house means patients can receive treatment as promptly as possible.

Guelph Dentist Office

Guelph Royal Dental
18 Douglas St,
Guelph, ON N1H 2S9
(519) 837-1870
[email protected]

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