$1 Teeth Whitening Kit with Checkup & Cleaning

COVID-19 Screening

COVID-19 screening form.

Please complete this short screening form before your visit. Your safety and the safety of our team is our top priority.

Screening Form

Please answer every question.

Your responses are confidential and used only to keep our office and patients safe.

Your responses are confidential and used only to keep our office and patients safe.
Do you have a fever or have felt hot or feverish anytime in the last 10 days?
Do you have any of these symptoms?
Have you been in contact with any confirmed COVID-19 positive patients, or persons self-isolating because of a determined risk for COVID-19? (Healthcare workers who have worn appropriate PPE may answer No.)
Have you returned from travel outside of Canada in the last 14 days?
Have you returned from travel within Canada from a location known affected with COVID-19 in the last 14 days?
Is your workplace considered high risk? (Healthcare workers who have worn appropriate PPE may answer No.)
Are you over the age of 65?
Do you have any of the following?

If any of your answers change between now and your appointment, please call us at (403) 762-2625 so we can plan accordingly.

Need to Reach Us?

We're here if you have questions.

Symptoms changing or unsure how to answer? Call our front desk and we'll guide you through your options.

(403) 762-2625Contact Us

Begin your visit · Banff, Alberta

Comfortable, considered dental care in the heart of the Rockies.

Whether you live in the Bow Valley or are visiting the Rockies, our team is ready to welcome you. Same-day emergency appointments available.

Book a Visit(403) 762-2625

Find us

210 Bear Street, 2nd Floor
Banff, AB  T1L 1B7

Get Directions

OFFICE HOURS

Mon–Fri · 8 AM – 5 PM
Thu 11 AM – 7 PM · Sat & Sun closed

MADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILE
MADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILE
MADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILE
MADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILEMADE YOU SMILE