COVID-19 Disclosure and Consent

Please correct the errors described below.
Patients who are well but who have a sick family member at home with COVID-19 should consider postponing elective treatment.

Positive responses to any of these would likely indicate a deeper discussion with the dentist before proceeding with elective dental treatment.

I have discussions with my doctor in regards to the pros and cons relating to contracting COVID-19. I am satisfied that my doctors answered all of my questions.
Although there are no guarantees in regards to the possibility of contracting COVID-19, my doctor will be following safety protocols as to best protect myself and the staff during the visit. I understand that I have possibility to delay my treatment and I have elected to have the procedure at this time

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