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Cosmetic Dentist Newmarket
Composite Dental Veneers Newmarket
Composite Dental Veneers Newmarket
Porcelain Dental Veneers Newmarket
Dental Implants Newmarket
All on 4 Dental Implants Newmarket
Orthodontist Newmarket
Invisalign Newmarket
Teeth Whitening Newmarket
Tooth-Colored Fillings Newmarket
Dental Crowns & Bridges
Zoom Whitening Newmarket
General Dentist Newmarket
Dentures Newmarket
Oral Surgeon Newmarket
Trauma Control & Treatment
Newmarket Prosthodontics: Restorative & Cosmetic Dental Solutions
Endodontic Newmarket
Pedodontist in Newmarket
Emergency Dentist Newmarket
Wisdom Tooth Extraction Newmarket
Root Canal Treatment Newmarket
Tooth Extraction Newmarket
Preventive Dentistry Newmarket
Night Guard
Scaling, Polish & Flouride Therapy
Deep Cleaning & Soft Tissue Evaluation
Cancer Screening Newmarket
Dental Hygiene Newmarket
CDCP
CDCP for Children
CDCP for Adults
Doctors
Dr. Alain Nourkeyhani
Dr. Babak Shokati
Dr. Farzad Salehipour
Dr. Iman Nazaran
Dr. Roozbeh Rashed
Dr. Sanaz Ziaei
Forms
Information update form
New Patient Form
Contact Us
About Us
Services
Cosmetic Dentist Newmarket
Composite Dental Veneers Newmarket
Composite Dental Veneers Newmarket
Porcelain Dental Veneers Newmarket
Dental Implants Newmarket
All on 4 Dental Implants Newmarket
Orthodontist Newmarket
Invisalign Newmarket
Teeth Whitening Newmarket
Tooth-Colored Fillings Newmarket
Dental Crowns & Bridges
Zoom Whitening Newmarket
General Dentist Newmarket
Dentures Newmarket
Oral Surgeon Newmarket
Trauma Control & Treatment
Newmarket Prosthodontics: Restorative & Cosmetic Dental Solutions
Endodontic Newmarket
Pedodontist in Newmarket
Emergency Dentist Newmarket
Wisdom Tooth Extraction Newmarket
Root Canal Treatment Newmarket
Tooth Extraction Newmarket
Preventive Dentistry Newmarket
Night Guard
Scaling, Polish & Flouride Therapy
Deep Cleaning & Soft Tissue Evaluation
Cancer Screening Newmarket
Dental Hygiene Newmarket
CDCP
CDCP for Children
CDCP for Adults
Doctors
Dr. Alain Nourkeyhani
Dr. Babak Shokati
Dr. Farzad Salehipour
Dr. Iman Nazaran
Dr. Roozbeh Rashed
Dr. Sanaz Ziaei
Forms
Information update form
New Patient Form
Contact Us
About Us
Location
(647) 797-8404
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Services
Cosmetic Dentist Newmarket
Composite Dental Veneers Newmarket
Composite Dental Veneers Newmarket
Porcelain Dental Veneers Newmarket
Dental Implants Newmarket
All on 4 Dental Implants Newmarket
Orthodontist Newmarket
Invisalign Newmarket
Teeth Whitening Newmarket
Tooth-Colored Fillings Newmarket
Dental Crowns & Bridges
Zoom Whitening Newmarket
General Dentist Newmarket
Dentures Newmarket
Oral Surgeon Newmarket
Trauma Control & Treatment
Newmarket Prosthodontics: Restorative & Cosmetic Dental Solutions
Endodontic Newmarket
Pedodontist in Newmarket
Emergency Dentist Newmarket
Wisdom Tooth Extraction Newmarket
Root Canal Treatment Newmarket
Tooth Extraction Newmarket
Preventive Dentistry Newmarket
Night Guard
Scaling, Polish & Flouride Therapy
Deep Cleaning & Soft Tissue Evaluation
Cancer Screening Newmarket
Dental Hygiene Newmarket
CDCP
CDCP for Children
CDCP for Adults
Doctors
Dr. Alain Nourkeyhani
Dr. Babak Shokati
Dr. Farzad Salehipour
Dr. Iman Nazaran
Dr. Roozbeh Rashed
Dr. Sanaz Ziaei
Forms
Information update form
New Patient Form
Contact Us
About Us
Services
Cosmetic Dentist Newmarket
Composite Dental Veneers Newmarket
Composite Dental Veneers Newmarket
Porcelain Dental Veneers Newmarket
Dental Implants Newmarket
All on 4 Dental Implants Newmarket
Orthodontist Newmarket
Invisalign Newmarket
Teeth Whitening Newmarket
Tooth-Colored Fillings Newmarket
Dental Crowns & Bridges
Zoom Whitening Newmarket
General Dentist Newmarket
Dentures Newmarket
Oral Surgeon Newmarket
Trauma Control & Treatment
Newmarket Prosthodontics: Restorative & Cosmetic Dental Solutions
Endodontic Newmarket
Pedodontist in Newmarket
Emergency Dentist Newmarket
Wisdom Tooth Extraction Newmarket
Root Canal Treatment Newmarket
Tooth Extraction Newmarket
Preventive Dentistry Newmarket
Night Guard
Scaling, Polish & Flouride Therapy
Deep Cleaning & Soft Tissue Evaluation
Cancer Screening Newmarket
Dental Hygiene Newmarket
CDCP
CDCP for Children
CDCP for Adults
Doctors
Dr. Alain Nourkeyhani
Dr. Babak Shokati
Dr. Farzad Salehipour
Dr. Iman Nazaran
Dr. Roozbeh Rashed
Dr. Sanaz Ziaei
Forms
Information update form
New Patient Form
Contact Us
About Us
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Patient Screening Form
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Full Name
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1- Do you have a concern for a potential COVID-19 infection (e.g. is there an outbreak in the facility, is the patient awaiting COVID-19 test results, etc)?
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Yes
No
2- Did the person travel outside of Canada or Province in the past 14 days?
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Yes
No
3- Have you tested positive for COVID-19 or had close contact with a confirmed case of COVID-19 without wearing appropriate PPE?
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Yes
No
4- Do you have any of the following symptoms?
*
Yes
No
Fever
New onset of cough
Worsening chronic cough
Shortness of breath
Sore throat
Unexplained fatigue/malaise/muscle aches (myalgias)
Runny nose or nasal congestion without other known cause
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