9-18-20: CLICK HERE FOR AN OPEN LETTER TO OUR PATIENTS
Please click below to fill out the form one day before your appointment. This needs to be filled out prior to every appointment until further notice. We truly appreciate your cooperation during these changing times.
Existing Patients: Fill out only Part A skip to Part C. You can add siblings to one form if we are seeing them on the same day.
New Patients: Fill out the form in its entirety
** In order to provide the best quaility care and safety of our patients, please note that we are adhering to the Chicago and Cook county restrictions. If the patient or anyone in the household has attended a gathering of more than 50 people such as holiday get-togethers (excluding school) or has returned from out of state (AL, AK, AZ, CA, CO, DE, FL, GA, IA, KS, KY, MA, MT, NH, NJ, NM, NY, NC, OH, OK, PA, RI, SC, SD, TN, UT, VT, VA, WV, WY) we ask that you do not schedule your next appointment until you have been home for 12 days. We also ask if the patient or anyone in the household has returned from college or out-of-town school to wait 12 days before coming in for an appointment. **
We hope that all of you are in good health and have adjusted to the new normal. Although there have been many changes over the past few months, our commitment to your safety and well-being remains the same. We will continue to deliver the highest quality of care while implementing new protocols and procedures to ensure the safety of our patients, families and staff.
Infection control has always been a top priority in our office. We are following guidelines recommended by the American Dental Association (ADA), the Centers for Disease Control (CDC), the Occupational Safety and Health Administration (OSHA) and the Illinois Department of Public Health (IDPH). We will continue to monitor these agencies to stay up-to-date on any new guidance they release.
The following outlines some of the new protocols we have implemented:
- Daily health screening of our staff
- Mandatory pre-screening of each patient prior to arriving to appointments
- Modified patient schedule that will accommodate 6-feet social distancing in the clinic
- Mandatory masks for anyone entering the office
- Temperature reading of anyone entering the office using a non-contact infrared thermometer. Anyone with a temperature over 100 degrees Fahrenheit will not be seen that day.
- Modified drop-off / pick-up of patients
- Installation of air purifiers with medical grade filters in strategic areas
- Enhanced disinfection protocols throughout the office
- Specialized Personal Protective Equipment (PPE) worn by all staff – we may look different but it’s still us!
- Procedures requiring a high-speed handpiece will now be performed with our a new extraoral suction machine to further minimize any aerosolization
STEPS TO FOLLOW PRIOR TO YOUR APPOINTMENT
In order to provide the highest level of safety for everyone, the following steps and procedures will be implemented for all of our patients and we kindly ask that you adhere to them:
STEP 1: FILL OUT THE ONLINE PRE-APPOINTMENT SCREENING FORM ONE DAY BEFORE YOUR APPOINTMENT (see link above)
This screening form must be filled out prior to coming to any future appointment.
STEP 2: BRUSH AT HOME
All patients must brush their teeth prior to arriving at the office. We will have you rinse with a mouth wash upon arrival to the office.
STEP 3: CALL UPON ARRIVAL
Once you have arrived in the parking lot for your appointment, please call our office. Please do not come up to our office until we have confirmed that we are ready to see you.
STEP 4: WEAR A MASK
Masks are required to be worn by anyone entering our office and the professional building.
STEP 5: PATIENT ENTERING OFFICE
Only the patient will be allowed into the office unless it is an appointment that requires a parent, guardian or caregiver. Please alert our office of this prior to your appointment.
STEP 6: READING OF TEMPERATURE
We will be taking the temperature of every patient and anyone accompanying them prior to entering our office using a non-contact infrared thermometer. Anyone with a temperature over 100 degrees Fahrenheit will be not be seen that day.
STEP 7: USE OF HAND SANITIZER
Hand sanitizer will be provided immediately upon entering and exiting the office and will be required to be used by anyone entering.
STEP 8: PICK-UP AT COMPLETION OF APPOINTMENT
If possible, the accompanying person should wait outside the building during the appointment. We will call or text you with instructions for pick-up upon completion of the appointment.
To further ensure the safety of everyone, we will be accepting payments over the phone. Any recurring charges and payments can be set-up with our staff.
We will continue to update everyone by email and text of any additional changes as we all adjust to this new normal. Please go to patient login at kerznerortho.com and confirm that we have your most updated contact information. As always, please feel free to call us directly with any questions you may have. We deeply value your trust and look forward to seeing you soon!
Dr. Shoel Kerzner and Staff