15252 32 Ave #101

South Surrey, BC V3Z 0R7 Canada

604-542-0123

Call us Today!

Book an Appointment

Accepting New Patients

My Dentist at Morgan Creek - 5 Star Rating
4.9 Star Rating by 400+ Clients on
My Dentist at Morgan Creek - Google Logo Color

You and your family might be eligible for the new government dental plan | visit page or call us or fill the form to find out.

icon-maple-leaf

You and your family might be eligible for the new government dental plan | visit page or call us or fill the form to find out.

Patient Screening Form

  • This field is for validation purposes and should be left unchanged.

  • Screening Questions

    In-office Screening: Initials ________________________
  • In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________

  • Patient Vulnerability:

    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________

  • Any “yes” response for questions 1-7 must be discussed with the managing dentist immediately.

    Tell the patient when they arrive at the office, they will be asked to: sanitize their hands; answer the questions again; have their temperature taken; complete a form acknowledging the risk of COVID-19.

  • Advise the patient:

    Only patients are allowed to come to the office.

    If possible to wait in their car until their appointment, call the office when they arrive.

  • Additional Screening Questions

    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
    In-office Screening: Initials ________________________
  • Clear Signature

NO RISKS, NO HIDDEN FEES.

We will provide a clear, detailed estimate on the cost of your treatment plan in writing so you know what to expect.

Let’s work together to give you a healthy mouth. Let’s start today.

CALL US (604) 542-0123
BOOK AN APPOINTMENT
Search

New Government dental plan

  • This field is for validation purposes and should be left unchanged.