Repeated pediatric patient form
Узнайте, какие меры мы принимаем для стерилизации и обеспечения безопасности лечебного процесса. Подробнее>>>



Date of filling: 08.12.2024 12:07:05 (appears automatically)

Patient questionnaire (covid-19)

1. Have you and your child been in isolation or self-isolation for the last 14 days before visiting the clinic?

2. Were there any close contacts over the past 14 days with a person under the supervision due to COVID-19, who subsequently become ill?

3. Were there any close contacts over the past 14 days with a person who was diagnosed with a laboratory confirmed COVID-19?

4. Have you and your child visited a clinic or medical centre where patients are tested for COVID-19?

5. Have you and your child experienced one or more symptoms in the last 14 days?

6. Have you tested for COVID-19?

Result of the last testing




Записаться на прием

С Вами свяжется сотрудник стоматологии
и запишет на прием в удобные для Вас
дату и время.