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| NEW PATIENT REGISTRATION Please complete this required online new patient patient registration accurately and completely. Your submitted information is 100% secure and confidential through our HIPAA compliant service portal. When you are done, just click the "Submit" button, and you have completed the first step on your way to a healthier and more attractive smile! ONLINE PATIENT REGISTRATION Another way is to download and fill out the following forms before your first visit at our office. You can email us the completed forms at sjdentalspecialists@gmail.com or print them out and bring them with you to your scheduled appointment. During this time, you will get acquainted with Dr. Nguyen and our wonderful staff and learn about your possible treatment need.
| PEDIATRIC MEDICAL AND DENTAL HISTORY UPDATE AT RECALL APPOINTMENT Please complete this form prior to your child's next check-up appointment and inform us of any recent change in the patient's health.
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our wonderful patients and parents,
We hope that this message finds you safe and well. We are all facing uncertain time but hoping that we will all ride the storm and come out better as a local community.
To avoid the spreading of the COVID-19 virus and for the better goods of our global and local community, we have decided to close the office temporarily until further notice. The closure will be in accordance with and help to enforce the social distancing recommended by the CDC. We all need to do our part in flattening the curve now, potentially saving our hospital resources for the most needed among us.
We will remain available for emergencies only. If you have any questions, please feel free to email us at sjdentalspecialists@gmail.com or call us at 408-600-3200 as we will be checking our voicemail regularly.
Virtual appointments are now LIVE! Please contact us if you would like to schedule a personal video chat or consultation with our doctors and we will send you instructions via email.
If you would like to set up your own virtual consultation, please follow this link: Virtual Consultation
Thank you for your understanding. Let’s grow together as a community. Stay safe and healthy!
Drs. Daniel Nguyen, Suzanne Nguyen, and the San Jose Dental Specialists Team
PATIENT SCREENING FORMS
We ask that our patients fill out the following forms prior to your appointment with us. They are both quite similar, for this reason we hope that you understand the redundancy, but the forms are important to monitor any symptoms before and on the day of the appointment. We just want to make sure that everyone is safe.
1. PRE-SCREENING FORM. To be completed at the time you make an appointment with us or before you come to the office
2. IN-OFFICE SCREENING FORM. To be completed on the day of the appointment when you arrive at the office.
The doctors and team at San Jose Dental Specialists want to ensure you that your health is our highest priority. We have trained and educated our team regarding COVID-19 and have enhanced some of our office protocols to ensure the highest level of safety and health.
INTRODUCING MOBILE CHECK-IN
NEW COVID-19 OFFICE PROTOCOL
We continue to observe the following high standards to ensure that San Jose Dental Specialists is a safe place to be for our patients and and staff:
- Before you enter the examining room, all surfaces, such as the dental chair, dental light, drawer handles and countertops, have been cleaned and disinfected thoroughly with medical grade disinfectants that kill 99.9% of all harmful bacteria and viruses.
- Disposable protective coverings on equipment are disposed of and replaced after each patient visit. Disposable dental tools and needles are always disposed of and never reused.
- Non-disposable items such as dental tools and instruments are cleaned and sterilized between patients using hospital grade sterilization equipment. Our sterilization equipment is monitored and tested on a regular basis.
ADDITIONAL SAFEGUARDS
On top of our daily safeguards, we also invest to protect your health and well-being with proper “Personal Protective Equipment” (PPE) and the following measures:
WHAT WE ASK FROM OUR WONDERFUL PATIENTS
- If you are sick, running a fever, coughing or not feeling well, please reschedule your appointment and do not enter the office. We are happy to reschedule your appointment at no charge and we thank you for considering the health of others.
- If you are healthy and you come for your regular appointment, please use a tissue when coughing, sneezing or blowing your nose, throw the tissue away, and wash your hands for at least 20 seconds with soap and water afterwards. Using hand sanitizer of 60% alcohol concentration is also acceptable for washing hands. We offer hand sanitizer at the front desk and in every operatory!
- If you have traveled to any areas outside of U.S. within two weeks of your scheduled appointment, please contact our office and reschedule.
MESSAGE to our current ORTHODONTIC PATIENTS:
Even though our office is currently closed, we want to make sure that your treatments continue to progress on track. Please follow the following guidance as reference to your case.
Expander: please stop turning after you have done enough turns as instructed at last visit. Remember to keep the expander clean with frequent cleaning. Waterpik Waterflosser is highly recommended as an adjunct to brushing and rinsing after each meals
Rubber bands, Elastics: Wash your hands before you use your elastics. You can continue wearing your elastics the same way as prescribed. However you can stop the rubber bands for now if your bite becomes uncomfortable. If you are not sure, please contact us. Attach a photo in your email or text if you can.
Headgear and Facemask: just like elastics, continue to wear your appliance and let us know if you have any questions. Remember that the magic number is 14 hours/day or more.
Invisalign: if you need more trays, please let us know and we will try to see if we can mail more trays to you. If you are at your last trays, it is ok to wear that same set until we can see you again to make sure your teeth are not shifting back, and night time wear is OK for now. Please keep them clean though.
Retainers: it is prudent that you continue to wear your retainers as instructed to avoid relapse or unwanted tooth movement.
Separators: if you have separators placed at last visit in preparation for band fitting next, and if your separators fell off, that is totally fine. It just means that the space is big enough and could not hold the small separators in place any more. If they are still in place, you can just floss them out. We will place them back when we return with our normal schedule.
MESSAGE to our current PEDIATRIC PATIENTS:
The California and American Dental Association strongly advised dental offices to suspend all dental care with the exception of emergency cases only.
Examples of non-emergency procedures that apply to our pediatric patients:
Regular visits for exams, cleanings, xrays
Removal of teeth that are not painful
Treatment of cavities that are not painful
Examples of conditions that can be considered emergency. If you are not sure or have any questions, please contact us.
Abscess, or localized bacterial infection resulting in localized pain and swelling
Tooth fracture resulting in pain or causing soft tissue trauma
Dental trauma
INTRODUCING MOBILE CHECK-IN
NEW COVID-19 OFFICE PROTOCOL
Covid-19 protocol.pdf