COVID Safety Guidelines and

Screening Questionaire

Before your child's appointment, please review our screening questionnaire and safety guidelines to help keep everyone safe and healthy! If you answer yes to any of the screening questions, please call the office at 248.347.8040

1. Have you, the patient or anyone in your home been in contact with a person with known or suspected COVID-19? Any pending COVID-19 tests?

2. Have you or anyone in the household been in large crowds in the last two weeks? (i.e. funerals, wedding, holiday gatherings)

3. Have you or anyone in the household traveled recently? Where?

4. In the past week, have you, the patient or anyone in the house been sick with a fever? Experienced shortness of breath? Had a cough?

  • When you arrive, please call the office and dial 1 to speak to a receptionist.

  • Only one parent/guardian accompanying patient. Newborns up to two months of age may come with both parents.

  • Staff, parents/guardians and patients (ages 4+) must wear a mask.

  • Please do not bring siblings of patients with you.

  • Please note that we will be checking the temperature of everyone coming into the office. Any adult with a temperature greater than 99.5° will not permitted into the office.

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Find us: 

44070 W. 12 Mile Road, Suite 100, Novi MI 48377

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