I knowingly and willingly consent to have elective (non-emergency) dental treatment completed during the COVID-19 pandemic.
I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not given the current limits in virus testing. Dental procedures create water spray which is how the disease is spread. The ultra-fine nature of the spray can create aerosols and linger in the air for minutes to sometimes hours, which can transmit the COVID-19 virus and how the disease can spread.
I understand that due to the frequency of visits of other dental patients, the characteristics of the virus, and the characteristics of dental procedures, that I have an elevated risk of contracting the virus simply by being in a dental office.
I confirm that I have read the notice above and know and understand that there is an increased risk of contracting COVID-19 virus in the dental office or with dental treatment. I further confirm that I am seeking treatment for non-emergency services. I understand and accept the additional risk of contracting COVID-19 from contact at this office. I also acknowledge that I could contract the COVID-19 virus from the outside this office unrelated to my visit here at Happy Tooth.