"*" indicates required fields

ALL persons are considered to be at least low risk of COVID-19. Screening applies to staff as well as patients. Infection control protocols must include standard precautions plus enhanced measures as a minimum.

In order to proceed with your appointment or work with Sydney Paediatric Dentistry today, please answer the following questions, for YOU and YOUR CHILD. Any person (or close contact) that has attended the following places must delay their dental visits until further notice.

Are you unwell?

Fever > 38°C (chills, night sweats)
Shortness of breath
Sore throat
Other respiratory symptoms? (runny nose/eyes, stuffy nose, hayfever)
Recent loss of taste or loss of smell
Gastro-intestinal upset? (nausea, diarrhoea, vomiting, stomach pain)
Other symptoms

Could you have been in contact with a COVID-19 positive case?

Are you a healthcare, aged care or residential care worker or staff member working in a facility with direct patient contact without the appropriate PPE?
Have you been in close contact with a person diagnosed with COVID- 19 in the last 14 days?
Do you live in a household where someone is Covid19 positive or are you considered a close contact to someone self-isolating?
Have you been vaccinated?
Have you been tested for COVID-19 recently? Date of last test: Please note that we may request another Covid19 test depending on the treatment you child requires
Would you prefer a Telehealth consultation instead of coming to the surgery?
MM slash DD slash YYYY

If you answered YES to key screening questions, we may ask you to have a Covid 19 test or, possibly defer non-urgent treatment until 14 days have passed, or symptoms are resolved.

Vulnerable medical patients needing care should be seen as first patient of the day or have a Telehealth consultation.

If urgent treatment is required, we may ask you to have a Covid 19 test. All patients are managed in accordance with ADA NSW regulations and COVID-19 Guidelines imposed by NSW Health.

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