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Patient Advisory and Acknowledgement Receiving Dental Treatment During the COVID-19 pandemic Name: Date: Temperature Please be advised that while our office complies with the State Health Department

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Access the website or platform where the form is available.

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Read any instructions or guidelines provided for filling out the form.

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What is covid-19 - welcome to?

Covid-19 is a highly contagious virus caused by the SARS-CoV-2 virus.

Who is required to file covid-19 - welcome to?

All individuals and businesses are required to report covid-19 cases.

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You can fill out the covid-19 report online or by using a paper form.

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The purpose of the covid-19 report is to track and monitor the spread of the virus.

What information must be reported on covid-19 - welcome to?

Information such as name, address, contact information, and test results must be reported.

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