Dr. Alison Jones 913.491.0077 Overland Park, KS Dentist
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  • Home
  • About Us
  • Patient Forms
    • TMJ Exercises
  • Services
    • Preventative Services >
      • Comprehensive Exam
      • Recall/Periodic Exam
      • Limited Exam
      • X-Rays
      • Intraoral Camera
      • Oral Cancer Screening
      • Dental Cleaning >
        • Adults
        • Children
    • Restorative Treatment >
      • Fillings
      • Crowns
      • Bridge
      • Implant Restoration
      • Full/Partial Denture
    • Night Guard/Sport Mouth Guard
    • Cosmetic Dentistry
    • Products
    • Dental Anxiety
  • New Patient
  • FAQ's
    • Frequently Asked Questions
    • Smile Advantage
    • Tooth Whitening
    • Insurance Benefits
    • Finance Options
    • Holiday Hours
    • Directions to Our Office
  • Contact Us
  • Pay My Bill

Patient Screening Questions

Do you have a fever or have you felt hot or feverish in the last 14 to 21 days?  Yes or No

Are you having shortness of breath or difficulties breathing?  Yes or No

Do you have a cough?  Yes or No

Do you have any other flu-like symptoms, such as gastrointestinal upset, headache or fatigue?  Yes or No

Have you experienced recent loss of taste or smell?  Yes or No

Are you in contact with any confirmed COVID-19 positive patients?  Yes or No
     Patients who are well, but who have a sick family member at home with COVID-19 should postpone elective treatment.

Is your age over 60?  Yes or No

Do you have heart disease, lung disease, kidney disease, diabetes or any auto-immune disorders?  Yes or No

Have you traveled outside Kansas or Missouri in the past 14 days to any regions affected by COVID-19?  Yes or No

Have you traveled to any regions significantly affected by COVID-19 in the last 14 days?  

Positive (YES) responses to any of the above questions may result in a deeper discussion with the dentist before proceeding with elective dental treatment.
Alison Jones Dentistry | 4601 W 109th St, Ste 110, Overland Park, KS 66211 | (913) 491-0077