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Patient Registration Form


In order to keep our patients safe and prevent the spread of COVID-19, our office is adhering to strict CDC/SCC guidelines, including: (1) Face Mask Requirement for all, (2) Temperature Checks upon entering, (3) Hand sanitizer/hand washing upon entering, (4) Social Distancing, (5) HEPA13-grade Air Purifiers every 200 sq ft, (6) Advanced UV Sanitization of frames, (7) Before and after sterilization of commonly touched surfaces/equipment, (8) Hand sanitizer or hand washing availability every 50 sq ft, (9) Weekly COVID-19 testing of all staff/doctors, (10) Building Capacity limitation