Patient Forms & COVID19 Protocol for Visits

89931394_2870468153001427_8858782317615775744_n We are looking forward to seeing you, the following changes are being implemented in response to COVID-19 and will be effective when we resume seeing patients. 

CLICK HERE for our most recent COVID-19 update!

Prior to arriving (within 2 days of appointments) ALL patients must fill out the online forms below regarding the updated safety protocols (see below), your health history, and informed consent. This is required, failure to complete your forms ahead of your visit will result in your appointment being rescheduled.

Please complete the following forms, and click the "Submit" button at the bottom of each form.

Existing Patients  
You can follow this link to virtually fill out the mandatory safety forms the day before your scheduled appointment. We will be sending you these forms via text 2 days prior to your appointment as well. 
Existing Patient Form:

New Patients

For new patients with an exam please fill out the appropriate forms prior to your exam with us.
New Patient Exam - ADULT:
New Patient Exam: CHILD:

COVID-19 Disclosure Form (Coming Soon)

Patient Visit Checklist & Terms (Coming Soon)

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

OFFICE VISIT DURING COVID-19, please read carefully and do exactly as directions instruct you when you visit our office for your appointment.

Your Health Is Our Priority - New Office Protocal For Your Appointment

Your health and safety are our main priority, and we want you to feel assured that when you come into our office, we are following all the recommended CDC guidelines to protect against the spread of COVID 19. In addition to our current and standard infection control practices, our team will be implementing the following additional measures and screening procedures to ensure your health and safety.

• Our office will perform screenings on each patient before their reserved appointment. The current protocol is to fill out and return your Wellness Form. We will be sending the Wellness Form to you a couple of days before your visit and will need it returned to us before we can see you.

• Temperature screenings and a symptom’s checklist will be required for each employee at the start of each day.

• Brush your teeth and use the bathroom at home, as our brushing station will be closed, and our bathroom facility will have limited access.

• Text our office when you arrive in the parking lot at 253.630.3331

• Wait for us to call you up to the office. The front door will be locked, but a staff member will meet you at the upstairs entrance.

• Wear a mask - This is required

• When you enter the waiting area, our assistant will record your temperature and escort you to a private cubicle. A parent is encouraged to come in with their child.

• All common areas will be closed.

Thank you for your understanding as we work to streamline our new processes. Your safety and well-being are our first concern.