Please click on the link for EACH of these forms and submit them before you or your childs orthodontic appointment.
Updates: June 25th, 2020
The Covid-19 Emergency delclaration for dental offices in Iowa has been extended until July 25th, 2020 by Governor Reynolds. We will continue to operate under those guidlines until the governor or state dental board issues other guidlines.
No exact expiration date has been given for dental offices in Nebraska, we will continue to operate under the same ADA, and CDC guidlines that we have been working under until those guidlines are updated or removed.
All of our offices will be open for patients on our ususal clinic days.
These are Requirements is Both Iowa and Nebraska:
- All patients are going to be asked to remain in their cars in our parking lots, and to text us of your arrival at 844-466-5787 We will respond to your text within a few minutes, If you do not get a response, please recheck the number you sent the text to, or call "712-276-2766" to be certian we know you are wating.
- All patients are required to complete the forms on the top of this page for EACH visit, until the mandate is removed by state dental boards. We can not see you unless these forms are done EACH time.
- Every patient will have their temperature taken as they enter our clinic, if anyone has a higher than normal temp, they will be referred to their healthcare provider and resheduled.
Contacting Our Office
We are available by Telephone, Email, or Texting if you need to contact our office for changes in appointments, or are having a problem that you need immediate assistance with.
Telephone: (712) 276-2766
Texting: (844) 466-5787
Our Office’s Safety Precautions
To help prevent the transmission of all respiratory infections, including COVID-19, we adhere to standardized infection control measures, such as performing hand hygiene, providing tissues and no-touch receptacles to throw away used tissues, and offering facemasks to patients who are coughing. We follow routine cleaning and disinfection strategies, using cleaners and water to pre-clean surfaces prior to applying an EPA-registered, hospital-grade disinfectant, as well as appropriate sterilization of all tools and equipment. We also use new facemasks and gloves for each patient per guidelines set by the FDA and CDC.
While our office already adheres to these standard precautions, there are several common sense recommendations we are implementing to prevent the spread of COVID-19.
- Screening patients for signs or symptoms of infection when we update their medical histories.
- Making sure our masks, gloves, and eye protection are appropriate for the procedures performed.
- Cleaning and disinfecting public areas frequently, including door handles, chairs, and bathrooms.
- For Existing patients, we ask that the PATIENT ONLY comes into our office for your visit until futher notice. If you or a parent have any questions on treatment, please send us an email or text before the visit, and we will respond after the appointment is completed.
- For New patients, we ask that a minor patient have only ONE parent or respontible party come to this first exam appointment. Limiting the number of people in the waiting room at the same time will help us keep you and our staff safe.
If you have an appointment scheduled within the next few weeks, please contact our office to rechedule your appointment if you experience any of the following:
- Shortness of breath
- Travel within the past 14 days to affected geographical regions
When you visit our office, we ask that you arrive on time for your appointment, rather than too early. This will minimize the amount of time you spend in our waiting room or reception area. If you have respiratory symptoms, we will ask that you wear a facemask.
How can you prevent contracting or spreading COVID-19?
- Wash your hands frequently with soap and water for 20 seconds. If you don’t have access to soap and water, use alcohol-based hand sanitizer.
- Maintain at least six feet of distance between yourself and anyone who is coughing or sneezing.
- Avoid touching your eyes, nose, and mouth.
- Cover your mouth and nose when you cough or sneeze. Do not use your hands.
- Stay home if you feel unwell. If you have a fever, cough, or difficulty breathing, seek medical attention and call in advance. Calling in advance will allow your healthcare provider to quickly direct you to the right health facility.
If you would like more information about our office’s dedication to your health and safety, please give us a call. For more information about what you can do to prevent the spread of COVID-19, please visit the World Health Organization website.