COVID-19 Forms

COVID-19 PANDEMIC EMERGENCY AND ELECTIVE DENTAL TREATMENT NOTICE AND ACKNOWLEDGEMENT OF RISK FORM

During these uncertain times regarding the COVID-19 Global Pandemic, our top priority is the  safety of our patients, staff, and community. This document is to serve as information to acknowledge and understand regarding COVID-19 and dental care.

Print or Submit, but be sure to do one before your next visit - Thank you.

DOWNLOAD A PRINTABLE COPY OF THE FORM

For the most up-to-date information on our accepted dental insurance plans contact our office directly at 610-691-6200

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Broad Street Dental Associates

Phone: 610-691-6200

Address: 627 W. Broad St., Bethlehem, PA

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