COVID-19 Screening

Fossum Family Dental Care COVID-19 Screening

Pre-Dental Treatment Screening and Supplemental Consent. We require this form to be returned prior to EACH APPOINTMENT.

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* All indicated fields must be completed.
Please include non-medical questions and correspondence only.

Office Info

Monday, Tuesday, Thursday: 8:30am – 5pm
Wednesday & Friday: 8am – 4pm

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