(441) 296-0011

14 Par-la-Ville Road, Hamilton, Bermuda HMO8

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Par-La-Ville Dental

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COVID-19 Pandemic Dental Treatment Consent Form

  • I knowingly and willingly consent to having dental treatment completed during the COVID-19 Pandemic.

    I understand the 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 in virus testing in Bermuda. Dental procedures create water spray and aerosol 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.

    Please make every effort to answer the following questions honestly and truthfully as to keep you and our staff safe.

  • (Please initial)
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  • I fully understand the risks of having dental treatment performed during this pandemic and consent to dental treatment.

Par-La-Ville Dental

Phone: (441) 296-0011

Address: 14 Par-la-Ville Road, Hamilton, Bermuda HMO8

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