Wellness Form

Name *

First

Middle

Last

Phone

Do you have cough? *

Do you have fever now or in the past 14-21 days? *

Have you come in contact with any confirmed COVID-19 positive patients in the last 14 days? *

Are you experiencing shortness of breath or difficulty breathing? *

Have you experienced recent loss of taste or smell? *

Are you over the age of 60? *

Do you have heart disease, lung disease, kidney disease, diabetes, or any auto-immune disorders? *

Have you traveled to any region affected by COVID-19 in the past 14 days? (As relevant to your location) *

Message

Mohamed Ali, DDS

Francoise Saint Aubin ★★★★★ 3 months ago
Dr. Ali, Cherry and the entire team are exceptional. The experience is always phenomenal, I have been a patient for 4 years. … More They are all very attentive, compassionate and professional. It’s very difficult to find a Dr. that really cares about your well-being. Dr. Ali’s evaluation and treatment plan is very carefully planned for your well being. I trust all his decision making. The entire team helps with the coordination of care. I highly recommend getting your dental care needs with Dr. Ali. My husband feels confident with my safety when I am under the care of Dr. Ali. Furthermore the environment is extremely clean and meet all the infection control practice expectations in my eyes (I honestly inspect the environment, this is part of my daily job professionally). Infection control matters to everyone in the community, it’s speaks volume when healthcare professionals are committed to our safety like Dr. Ali’s team.
Thank you Sincerely
Francoise Saint Aubin
Brent Kamrath ★★★★★ 2 years ago
Got my teeth taken care of here, friendly staff and great Dr. Cant say anything bad at all very satisfied With overall service! … More
Steve Boullianne ★★★★★ 5 years ago
Dr Ali glued a diamond onto my tooth and he is a calm, kind, enthusiastic man.