FOR YOUR FIRST APPOINTMENT :

Registration Form + COVID19 Pre-Screening Form - English

Registration Form + COVID19 Pre-Screening Form - Chinese 中文

ALL OTHER APPOINTMENTS:

COVID-19 Pre-Screening Form Only- English

COVID-19 Pre-Screening Form Only- Chinese 中文

COVID-19 Pre-Screening Form Only- Spanish

Please fill out the Registration form + COVID19 Pre-Screening Form (links above) prior to your FIRST appointment and email them to fidiendodontics@gmail.com OR print, fill out, and bring to your appointment.
We will still update the COVID-19 Screening form at the time of the appointment.

If this is not your first visit, you can print or email out the COVID-19 Pre-Screening Form Only and bring it to you appointment. We will still update this form upon your arrival to the office.

Thank you in advance for your understanding!