To make an appointment, call 514 488-9579 or fill the form below :
If this is your first visit, click here to open a medical file
Name of person screened: (required)
Please indicate if the above name refers to the screening form for the patient or the accompanying person:
Name of patient (if accompanying person):
Have you tested positive for COVID-19 in the last 21 days or have you been told that you should be tested?
Fever (over 38°C or 100.4°F)
New cough or worsening chronic cough
Breathing difficulties (e.g., shortness of breath, difficulty speaking)
Sudden loss of smell (with or without loss of taste)
Muscle pain, headache, intense fatigue or significant loss of appetite
Do you have a health issue that might explain the symptoms described above?
If so, specify:
Have you been in close contact (at least 15 minutes at less than 2 metres) with a confirmed or suspected case of COVID-19?
Your Email (required)
Monday - Friday 8am to 5pm
Retter Dental Care
5165 Queen Mary Rd. Suite 305
Montreal, QC H3W 1X7
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