15 Cornwall Road, Dorchester, Dorset, DT1 1RU (view larger map »)               Tel: 01305 259417              [email protected]
COVID-19 PATIENT QUESTIONNAIRE »
Dorchester Orthodontic Clinic

Quality specialist orthodontic care

COVID-19 Screening Questionnaire

In order to standardise discussions with patients offered treatment during COVID-19 recovery phase. Each patient offered an appointment will receive a phone call, 24- 48 hours before their appointment, from the appropriate team member covering the points below.

1. Does patient / member of household have symptoms suggestive of COVID 19?

  • A high temperature
  • A loss of taste/smell
  • A cough

If yes, please phone to discuss this.

2. Are you or anyone in your household ‘shielding’ due to immunosuppression or other health risk?

If yes, please phone to discuss this.

3. Risk benefit analysis.

You should be aware that there is a very small increased risk of contracting COVID-19 inherent in attending the practice/department.

4. Consent: discussion of risks and benefits for the proposed procedure planned for the forthcoming visit.

- You will receive a phone call from a member of staff with more details of how things will be coordinated on the day of your appointment.

- Be aware that there is a higher than usual chance of last- minute cancellation due to current unpredictable circumstances.

Please contact us by email if you have any queries.

Please note that we are closed for lunch between 1.00pm and 2.00pm.