COVID-19 Patient Screening

Please answer the following questions to ensure you are COVID-19 symptom free.

Patient Name *

Date *

It is important to closely monitor your health and the health of those you care for to help prevent the spread of COVID-19 and other illnesses like the flu.

1. Do You Feel Sick? *

Yes

2. In the past 48 hours, have you had, or are you currently experiencing;

Cough (New or Worsening) *

Yes

OR two or more of the following symptoms (new or worsening);

Fever (i.e. chills/sweats) *

Yes

Sore Throat *

Yes

Runny nose/nasal congestion *

Yes

Headache *

Yes

If yes, go home or stay home as noted above. Follow Public Health instructions for testing and isolation.

3. Have you recently visited a COVID-19 exposure site? *

Yes

4. Have you travelled in the past 14 days outside of the province and/or country AND been advised to self-isolate? *

Yes

Spam Blocker

Welcoming New Patients

Are you looking for a dentist in Gatineau? Our dentists our happy to be accepting new patients at our clinic.

Request Appointment

We are a proud member of
the network.

Hours

Monday: 08:00 am - 05:00 pm
Tuesday: 08:00 am - 05:00 pm
Wednesday: 08:00 am - 04:00 pm
Thursday: 08:00 am - 04:00 pm
Friday: 08:00 am - 12:00 pm
Saturday: Closed
Sunday: Closed

Location

Dubreuil Lévesque Dental Centre

24 Principale St Suite 301, Gatineau, QC J9H 3L1 CA

Telephone

(819) 682-3368

Request Appointment

Quick Links

About
Services
Children
Patients
Careers
Contact
Privacy Policy

Privacy Policy
Accessibility
Search
Back to Top

(819) 682-3368