Patient Forms

What to know for your appointment: 

 

SA office

  • Once you are in our parking lot, TEXT us @ 210-558-3395 (don't call).  Please stay in your vehicle until we TEXT you back, with instructions. Don’t just come up to the porch unless you have received a TEXT from us. You will be coming up the front stairs to our porch and will be entering the 2nd door on the right. We will open the door for you to come in for your appointment.
  • Don't arrive early, and no more than 15 mins late or we may have to reschedule you! Only patients will be allowed to come in. This is to decrease the numbers of people in the office at any given time. 

-Boerne office, you can come into the waiting room and we will call you in from there. Just make sure you have brushed before your appt.

We ask that everyone wear some kind of face covering coming into either of our offices, bandanas or scarfs are fine. The assistants will let you know when you can remove it and when you need to put it back on.

  • Please note, in SA our waiting area, porch seating, restrooms and toothbrushing stations are closed for now.  Therefore, please make sure you do this at home before your appt.
  • When you come in, we will ask a few questions, do a quick temperature check. (Must be below 100 to continue with your appointment), give you some hand sanitizer then go to your assigned dental chair.
  • After your appointment the assistant will escort you out the same door and make sure you get to your car.
  • After your parent/companion should call so we can make your next appt.
  • Payments, can be made in several ways:
  • when you set up your appointment,
  •  at the time of your appointment, you can have the patient bring it up
  • drop an envelope in our mail slot
  • call us on our main number, while you are in parking lot and we will get credit card information.

BEITCHMAN ORTHODONTICS

COVID-19 Screening Form

NOTE: you will have to respond to these questions each time you come in!

Hi everyone!

Our patients’ safety is our highest priority.  In order to protect both our patients’ health and our staff’s health, please answer the following questions before your next visit: 

PLEASE TEXT us Today,@ 210-558-3395 patient’s initials and either “No to all", OR which question number you answered “Yes to”.

 

 

COVID-19 Screening Form

Yes or No

 

  1. Have you been sick recently?  
  2. Have you yourself tested positive or have you come in contact with anyone who has tested positive for COVID or been around someone who isn’t well?
  3. Within the last say 14-21 days have you had a fever, or felt hot and feverish?
  4. Do you have a sore throat, cough or shortness of breath?
  5. Are you having any other flu-like symptoms such as headaches, muscle aches, fatigue, nauseousness, vomiting or GI upset?
  6. Have you experienced recent loss of taste or smell?
  7. Have you traveled by bus, airplane or train anywhere in the past 14 days?
  8. Do you have any other health issues we should be aware of?

We can’t thank you enough for your patience and understanding as we all work through this, together!

Thank You Again!

 

 

 

Online Patient Forms

 

 
 
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