To help ensure the safety of our patients and our staff during your upcoming orthodontic appointment and to comply with the parameters set out by the Ontario Ministry of Health we require the following Screening Questionnaire to be filled out in advance of your visit.

Please note that we require one completed questionnaire before each appointment for anyone that enters our office.

For example - if you are a parent accompanying your child to their appointment, we will require two completed questionnaires - one for you and one for your child.

Please try and complete the questionnaire as close to the orthodontic appointment as possible to ensure accuracy.

Please contact us if you have any questions or if you answer YES in any of your responses. We look forward to seeing you soon.