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All-on-4® / All-on-6®
Wallace J. Bellamy, DMD
Please complete our COVID-19 screening form prior to your visit to Wallace J. Bellamy, DMD.
Have you tested positive for COVID-19?
If yes, when did the symptoms lessen or disappear (date)?
Do you currently have symptoms of COVID-19?
Are you under a mandatory isolation?
Have you had close contact with someone diagnosed with COVID-19 or with symptoms?
Are you currently experiencing, or have experienced recently within the last 3 weeks?
I Have No Symptoms
Shortness of Breath
Loss of Taste/Smell
Gastrointestinal (GI) Symptoms
COVID-19 Check-in Process
In an effort to maintain the safety of our patients and team members we are asking all patients to follow our new check-in policy:
Reply to our text message or call our office upon arrival for your appointment to check-in
Stay in the vehicle when you arrive.
We will call you when your room is ready
Please wear a mask before and after your appointment
Upon entry into our office please be prepared to wash your hands and rinse with mouthwash.
Note appointment time is for the patient only. No other guest will be permitted into the office unless otherwise noted by the doctor.
Thank you for being a valued member of our dental family.
Dr. Wallace J. Bellamy & Team!