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Call us today!   519-482-9392

COVID-19 Screening Form

We, at Clinton Dental Clinic,  are required to ask COVID-19 screening questions in advance of your appointment.


If you answer YES to any of the following questions, please contact our office 519-482-9392.


1) Have you tested positive for COVID in the last 10 days?


2) Have you been in close contact with a confirmed case of COVID in the last 10 days without wearing PPE?


3) Have you or anyone in your household been instructed to self-isolate?


4) Do you have ANY of the following cold, flu or COVID symptoms:

* Fever

* Onset of new cough

* Difficulty breathing

* Sore or scratchy throat

* Chills

* Headache

* Runny nose/nasal congestion not related to allergies

* Nausea, vomiting, diarrhea


Arrive to your appointment only a few minutes early for screening.


We look forward to seeing you at your dental visit and brightening your smile.


Clinton Dental Clinic

Box 35, 218 Ontario St.

Clinton, ON N0M 1L0

Phone: 519-482-9392



Sunday Closed

Monday 09:00 AM - 06:00 PM

Tuesday 08:00 AM - 04:00 PM

Wednesday - Thursday 08:15 AM - 05:00 PM

Friday 08:00 AM - 03:30 PM

Saturday Closed


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