Call/Text 909-345-6737

NEW PATIENT FORMS

Please fill out and submit the following four forms prior to your appointment.

1. Patient Registration
2. Medical History
3. Consent for Health Info Use/Disclosure
4. COVID-19 Screening

COVID-19 PROTOCOLS - WHAT TO EXPECT AT YOUR VISIT

 

We would like to share with you some of the things that you can expect upon your arrival at our office and some requirements to help ensure your safety and ours.

•Our office will communicate with you beforehand to ask some screening questions.

•You will be asked some of the same questions again when you are in the office.

•A mask that covers your mouth and nose is required during your visit except when instructed to remove your mask by any of our dental team members. Please make sure to put your mask on prior to entering our building to help ensure the safety of yourself and others.

•We have hand sanitizer at the front desk in the reception area that we will ask you to use when you enter the office.

•Your temperature will be taken with a touchless thermometer.

•At this time, we ask that you do not bring anyone with you to your appointment (children, friends, etc. are not allowed). If you require the assistance of a caregiver/personal aid, we will accommodate you but please let us know that prior to your arrival so that we can make special accommodations to ensure the safety of everyone.

•We are not currently able to offer reading material etc., as those items are difficult to adequately clean and disinfect.

•Appointments will be managed to allow for social distancing between patients.

•We will do our best to allow greater time between patients to reduce waiting times for you, as well as to reduce the number of patients in the reception area and office at any given time.

Paula Elmi, DMD
750 N. Diamond Bar Blvd
Suite 112
Diamond Bar, CA 91765
 
Phone: 909-345-6737
Fax: 909-342-1237
 
Monday - Thursday 9AM - 5PM
Friday By  Appointment Only

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