COVID-19  ANNOUNCEMENT

To Our Patients,

We hope that you are staying safe and in good health. We are are looking forward to seeing all of you! We are now back to our normal business hours. Many changes have been made within our office for your safety. 

Our office has and will always follow infection control recommendations that are made by the American Dental Association, the U.S. Centers for Disease Control and Prevention and the Occupational Safety and Health Administration and we are up to date with the guidelines that have been issued. 

We have made changes that you may see at your next appointment to protect our patients and staff. These are some of the following changes: 

• Our office will communicate with you before your appointment to ask some screening questions. You will be asked those same questions as you arrive to your appointment.

• We ask that you stay in your car when arriving to your appointment and honk/call upon arrival. A staff member will come to you, please have your COVID-19 Forms filled out and ready to give to our staff. 

• Our waiting room and kids play room is now closed for your safety. 

• We have placed hand sanitizer around the office for you to use as needed.

• You will be asked to wash your hands and rinse with Listerine before being seated.

• To allow for social distancing, appointments will be managed accordingly, which means you may be offered fewer options for scheduling your appointment.

• To reduce the wait time for your appointment, we will do our best to allow more time between patients. 

We are more than happy to answer any questions you may have. We look forward to seeing you again! If you'd like to make an appointment please call us at (402)697-0765 or chat with us on here.

We value your loyalty and trust and look forward to welcoming back our patients, friends and neighbors. 

Dr. Robert Hogan, D.D.S. and Staff

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COVID-19 NOTICE & ACKNOWLEDGEMENT OF RISK FORM

Please Print and Return to Our Office for Your Dental Appointment

 Click Link Below

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Or

(Right click on page, scroll to "print", under "pages" left click "custom" and specify pages 3-4, then "print")

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

Our goal is to provide a safe environment for our patients and staff, and to advance the safety of our local community.  This document provides information we ask you to acknowledge and understand regarding the COVID-19 virus.
The COVID-19 virus is a serious and highly contagious disease.  The World Health Organization has classified it as a pandemic.  You could contract COVID-19 from a variety of sources.  Our practice wants to ensure you are aware of the additional risks of contracting COVID-19 associated with dental care.
The COVID-19 virus has a long incubation period.  You or your healthcare providers may have the virus and not show symptoms and yet still be highly contagious.  Determining who is infected by COVID-19 is challenging and complicated due to limited availability for virus testing.
Due to the frequency and timing of visits by other dental patients, the characteristics of the virus, and the characteristics of dental procedures, there is an elevated risk of you contracting the virus simply by being in a dental office.
Dental procedures create water spray which is one way the disease is spread.  The ultra-fine nature of the water spray can linger in the air for a long time, allowing for transmission of the COVID-19 transmission while receiving dental treatment. 

I confirm that I have read the Notice above and understand and accept that there is an increased risk of contracting the COVID-19 virus in the dental office or with dental treatment.  I understand and accept the additional risk of contracting COVID-19 from contact at this office.  I also acknowledge that I could contract the COVID-19 virus from outside this office and unrelated to my visit here.
I have read and understand the information stated above.

______________________________ _____                         ___________________________
Signature                                                                                        Date

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Witness (office staff only)

INTERIM GUIDANCE FOR MINIMIZING RISK OF COVID-19 TRANSMISSION FORM

NEBRASKA DENTAL ASSOCIATION/ADA

COVID-19 PATIENT DISCLOSURES

Please Print and Return to Our Office for Your Dental Appointment

This patient disclosure form seeks information from you that we must consider before making treatment decisions in the circumstance of the COVID-19 virus.
A weakened or compromised immune system (including, but not limited to, conditions like diabetes, asthma, COPD, cancer treatment, radiation, chemotherapy, and any prior or current disease or medical condition), can put you at greater risk for contracting COVID-19. Please disclose to us any condition that compromises your immune system and understand that we may ask you to consider rescheduling treatment after discussing any such conditions with us.
It is also important that you disclose to this office any indication of having been exposed to COVID-19, or whether you have experienced any signs or symptoms associated with the COVID-19 virus.
PLEASE ANSWER THE FOLLOWING YES NO
Do you have a fever or above normal temperature? *_______
Have you experienced shortness of breath or had trouble breathing? *_______
Do you have a dry cough? *_______
Do you have a runny nose? *_______
Have you recently lost or had a reduction in your sense of smell? *_______
Do you have a sore throat? *______
Do you have chills? *_______
Do you have repeated shaking with chills? *_______
Do you have muscle pain? *_______
Do you have a headache? *_______
Have you been in contact with someone who has tested positive for COVID-19?_______
Have you tested positive for COVID-19?_______
Have you been tested for COVID-19 and are awaiting results?_______
Have you traveled outside Nebraska in the past 14 days?
If so, where_________________________
I fully understand and acknowledge the above information, risks and cautions regarding a compromised immune system and have disclosed to my provider any conditions in my health history which may result in a compromised immune system.
By signing this document, I acknowledge that the answers I have provided above are true and accurate.
____________________________________ __________________________________
Signature   Date

WEST PACIFIC DENTAL GROUP

Welcoming New Patients!

Kids ages 3 and up and Adults

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Our office offers Exams, Dental Cleanings, Digital X-rays, restorations such as Fillings, 3D Imaging for Crowns, Extractions, Post-Implant procedures. We make  Removable Partials and Dentures and we also offer Whitening, Night Guards. and Sports Guards.

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We accept Visa* MasterCard * Discover

Insurance Claims Filed

We offer a 15% Discount for Cash/Check payments on day of service.

PRODUCTS

What’s in Stock

ORAL-B PATIENT STARTER KIT

Top Seller

Our office offers the convenience providing Oral-B Patient Starter Kits. The Kit includes an Oral-B Genius Bluetooth Smart electric toothbrush, a Crest Pro-Health Oral Mouthwash, and a Crest GUM Detoxify Fluoride Toothpaste. If purchased in-office, you will receive a rebate.

MEDIA CENTER

Glo Science Whitening Treatment

WELCOME TO YOUR BRIGHTER SMILE!

Our office is now offering the latest in bleaching technology.  The best thing about this treatment is there are no messy strips or loose fitting trays involved, and no sensitivity due to the heat activation that the mouth guard provides.  It's an easy 32 minute process for 5 days! Call today to learn more.

CONTACT US

1201 S 157th Suite # 105, Omaha, NE 68130, USA