Phase 2 (HA) - Pre Assessment Form for Le MinT'S Dental
Due to the high risk setting in dental healthcare, any patients who:
1) Has/had COVID19 and recently recovered in the last 7 days
2) live in the same household as a COVID19 +ve patient in the last 7 days
3) close contact with COVID19 +ve patient in the last 7 days
Are recommended to defer any non urgent dental treatment until at least 7 days after recovery or HRN.

Please also provide a same day ART negative test result on the day of appointment if you are in the same household with a current COVID19 +ve patient. If there is none, the clinic may require you to undetake an on site ART swab test at a fee of $5.35.

Thank you for your understanding. This is to ensure a safe environment for everyone.

Should you have any SWAB test done recently, do inform and show to our counter to report the results.  

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Full Name and Contact Number: *
Appointment date requested (MM/DD/YYYY). Note: This is not a confirmed appointment, please wait for a confirmation call/message.
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