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PRESCOTT DENTISTRY COVID-19 PATIENT INTAKE Formation Name: Patient DOB: I was advised by Prescott Dentistry that in order to comply with social distancing protocols I should wit in my car prior to
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To fill out oral health and COVID-19 form, follow these steps:
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Start by providing your personal information such as name, contact number, and address.
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Next, answer the questions related to your oral health. This may include questions about tooth pain, gum bleeding, presence of cavities, etc.
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Then, proceed to answer the COVID-19 related questions. These may include questions about recent COVID-19 symptoms, exposure to infected individuals, travel history, etc.
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Who needs oral health and covid-19?

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Oral health and COVID-19 information is important for everyone, especially:
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- Individuals experiencing oral health problems such as toothache, bleeding gums, or oral infections.
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- People who suspect they may have been exposed to COVID-19 or have experienced symptoms related to the virus.
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- Healthcare professionals who provide oral health services or are involved in managing COVID-19 cases.
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- Individuals who want to stay informed and take necessary precautions to maintain their oral health and prevent the spread of COVID-19.
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Oral health and COVID-19 refers to the impact of the COVID-19 pandemic on oral health and dental care.
Healthcare providers, dental professionals, and public health organizations are required to report on oral health and COVID-19.
The oral health and COVID-19 report can be filled out online through a designated reporting portal.
The purpose of reporting on oral health and COVID-19 is to track the impact of the pandemic on dental health and identify areas for intervention or improvement.
Information such as number of dental visits during the pandemic, impact on oral health education programs, and prevalence of dental emergencies are typically reported.
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