COVID-19 Pandemic Dental Treatment Consent Form

I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. Given the current limits of COVID-19 virus testing, it is impossible to determine who is infected with COVID-19 and who is not. Some dental procedures create aerosols which is how the disease can be transmitted. The ultra-fine nature of aerosol spray can linger in the air for minutes to sometimes hours, which can transmit the COVID-19 virus.

I knowingly and willingly consent to have dental treatment completed during the COVID-19 pandemic for my child.

Please call us at (847) 662-7755 to schedule your appointment, or if you have any questions or concerns, you are welcome to contact us online with our contact form.

Hours of Operation

Our Regular Schedule

Monday:

8:30 am-12:00 pm

1:30 pm-5:00 pm

Tuesday:

8:30 am-12:00 pm

1:30 pm-5:00 pm

Wednesday:

12:00 pm-7:00 pm

Thursday:

8:30 am-12:00 pm

1:30 pm-5:00 pm

Friday:

8:30 am-12:00 pm

1:30 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed

Our Location

Find us on the map