About Dr. Ho
Family & General Dentistry
Regular cleaning and Annual Dental Examination
Root Canal Therapy
Crowns & Bridges
Before and After
Schedule An Appointment
Write to us
Accepting New Patients
New Patient Form
1. Are you experiencing any of the following symptoms of COVID-19? Cough, sore throat, shortness of breath, muscle pain/body aches, runny nose, sneezing, loss of taste or smell, fever, nausea, extreme fatigue.
If you are experiencing symptoms, please contact our office to reschedule your appointment.
2. Have you been in close contact with a suspected or confirmed case of COVID-19 in the last 10 days?
If you answered Yes to the above question, please contact the office to discuss if there is a need to reschedule your appointment.
3. I verify that the answers I provided on this form are truthful and honest. It is my responsibility to notify the office if any of the answers change before my appointment.
Please enter the office wearing a mask and we will ask that you use the hand sanitizer or washyour hands in the washroom when you arrive. Thank you.