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MOBILE TEETH WHITENING

COVID 19 SCREENING

This form MUST be completed on the day of your appointment at least 2 HOURS prior to my arrival. 


IF THIS IS NOT COMPLETED PRIOR TO YOUR APPOINTMENT IT MAY RESULT IN CANCELLATIONS OR DELAYS IN YOUR APPOINTMENT.

PLEASE REFER TO THE COVID-19 PROTOCOLS SECTION OF THE WEBSITE FOR ALL UPDATES PERTAINING TO YOUR APPOINTMENT.

THANK YOU FOR YOU COOPERATION.