POTOMAC ORTHODONTICS HEALTH FORM
Thank you for putting your trust in our office and we are so glad we are able to see you again.  This form allows us to screen for communicable diseases including COVID-19 in our office in an effort to keep all our patients and team safe. Before leaving the house for your appointment,  fill out this questionnaire at least 1 hour prior to your appointment. When you arrive, please wait in the car and call the office at (703) 494-9118 to check in.  Someone will let you know when we are ready for your appointment to come in.
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