Updated Practice GuidelinesTo our NOVA Pediatric Dentistry & Orthodontics Family:As we follow the impact of the Novel Coronavirus (COVID-19) and in accordance with the Centers for Disease Control (CDC) and American Dental Association, we want to outline the measures we are taking to enhance the health and safety protocols in and around our practice. Your safety and the safety of our team is our primary concern. Until further notice, please respect and adhere to the following enhanced health and safety protocols:Prior to a scheduled appointment:All patients should brush their teeth at home prior to coming to the office. We are minimizing the use of our toothbrushing stations.Please call to reschedule your appointment if the patient or anyone in the family has had a fever, shortness of breath, dry cough, runny nose, or sore throatPlease keep in mind that only one person may accompany a patient to his/her appointment. To minimize the number of people in our office we respectfully insist that you do not bring siblings, friends, or relatives to your family member’s appointment.When you arrive at the office:Our reception area is closed. Please call our office and wait in your car. When we are ready for you, we will call you so you can immediately be taken into our treatment area. One person may accompany a patient to his/her appointment.Prior to entering the office you will be asked the following questions:Has the patient or anyone in your family had a fever, shortness of breath, dry cough, runny nose, or sore throat?Has the patient or anyone in your family experienced a loss of taste or smell?Has anyone in your family come in contact with someone who is confirmed COVID-19 positive? If so, when?Has anyone in your family traveled outside the state or outside the country in the last 14 days?Has the patient taken any medications to reduce fever in the last 8 hours?This includes aspirin, ibuprofen, naproxen, and acetaminophenWe ask that you be truthful and candid with your answers. If you or any family member have a fever or even mild flu-like symptoms, please do not come to the office. Please call us and we will gladly accommodate a new appointment date.EVERY PERSON entering the office will be required to:Wear a mask that covers both the mouth and the noseHave their temperature screened with a thermometerAny individuals with a temperature over 100.4°F will not be permitted to enter the officeWash their hands for 30 seconds with soap and waterObserve the 6 feet social distancing recommendation when possibleIn addition, EVERY PATIENT will be asked to rinse for 60 seconds with an antiseptic rinse prior to his/her scheduled appointment.With regard to scheduling, rescheduling, or cancelling appointments:Our team has been working together to lighten the schedule. Please respect the appointment time you were given. We are making every attempt to stagger appointments and limit the number of patients in the office at any given time.Please respect our policy of “by appointment only”. We will not be accepting “walk-in” patients at this time.As a reminder our clinic remains a very safe space to continue to administer care. We are constantly disinfecting our facility and equipment. All team members are taking all universal precautions recommended by the CDC and the American Dental Association to maintain a clean and safe environment.In addition to our standard levels of sterilization and disinfection, our team is disinfecting common areas throughout the day including the front desk, brushing stations, and all high-touch points.Thank you for your understanding and adherence to these health and safety protocols. To protect your families and ours, we will continue to closely monitor the COVID-19 situation and follow local, state and federal guidelines. We continue to take this day by day and will make updates and changes as needed.Informed Consent – COVID-19You are receiving dental and/or orthodontic care during the pandemic events of COVID-19 National Emergency. Please be advised that there may be increased risk of exposure from doctors, staff, other patients, and the treatment facility. We are taking precautions to limit the spread of this disease, but there is still a possibility of transmission.I understand that COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not, given the current limits on virus testing. Dental/Orthodontic procedures create water spray which is how the disease is spread. The ultra-fine nature of the spray can linger in the air for minutes to sometimes hours, which can transmit the COVID-19 virus.I knowingly and willingly consent to have dental and/or orthodontic treatment completed during the COVID-19 pandemic. I am the parent, guardian, or personal representative of the patient and there are no court orders now in effect that prevent me from signing this consent. I do hereby acknowledge the health risks of the COVID-19 virus during this National Emergency and I willfully request and authorize the doctors and staff at NOVA Pediatric Dentistry & Orthodontics to perform any necessary dental and/or orthodontic services. I will be responsible for any charges incurred for my child for treatment.Your Name* First Last Patient Name(s)*Use the '+' icon to add multiple names. Relationship to patient(s)*Appointment type:*Pediatric DentistryOrthodonticsDate* Date Format: MM slash DD slash YYYY Signature*EmailThis field is for validation purposes and should be left unchanged.