Patient Screening Form
Please read this form and sign where indicated. Use this form to screen patients before their appointment and when they arrive for their appointment.
Adapted from Dental Association of PEI COVID-19 Pandemic Emergency Dental Risk Acknowledge by Patient
ADDRESS:
8590 200 St Unit # 3,
Langley City, BC V2Y 2B9
PHONE:
HOURS:
Monday: Closed
Tuesday: Closed
Wednesday: 9:30AM–6PM
Thursday: 9:30AM–6PM
Friday: 9:30AM–6PM
Saturday: 9AM–3PM
Sunday: Closed