COVID-19 Patient Screening Form

The City and County of San Francisco is currently requiring that all dental offices screen patients several days in advance of any dental appointment either by phone or online.

If you have an upcoming appointment and wish to complete the screening questionnaire online, you may access the screening form and submit it securely using this link: 

https://forms.patientconnect365.com/5567

If you prefer to complete the screening by phone, please call our office at 415-731-9311 between 8 am and 5 pm Monday through Friday several days prior to your appointment.

Thank you for helping us keep everyone healthy and safe.