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Dr. Braille Watson & Dr. Sara Lopez
A Privately Owned Family Dental Practice
17 Nelson Ave, Melbourne, Fl 32935
Call: (321) 259-2161

Covid 19 Screening Questions

HARBOR CITY DENTAL COVID 19 SCREENING QUESTIONS

 

1. Are you currently experiencing or have you experienced any of the following symptoms within the last 14 days?:

fever greater than 100 degrees Fahrenheit

cough or difficulty breathing or fatigue

a decrease in sense of smell or taste

2.  In the last 14 days have you had contact with anyone with confirmed COVID 19?

3.  In the last 14 days have you been around any person with the above symptoms or who has recently been tested for COVID 19? 

4.  In the last 14 days have you attended any indoor group function?

5.  In the last 14 days have you followed personal protection procedures?

***IF YOU ANSWERED YES TO ANY OF THE ABOVE QUESTIONS PLEASE CALL OUR OFFICE IMMEDIATELY***

WE REQUEST YOU CALL US PRIOR TO YOUR SCHEDULED APPOINTMENT.

ph: 321-259-2161


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Office Location

  • Melbourne
  • 17 Nelson Avenue
  • Melbourne, Florida
  • 32935
  • Map & Directions
  • Call: (321) 259-2161