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  • Home
  • About
    • About Kitchener Dentist Frederick
    • Meet Dr Boeriu
    • Review Us
  • Dental Procedures
    • Preventive Periodontal Treatment
      • Complete Dental Examination
      • Dental x-Rays
      • Digital x-Rays
      • Fluoride Treatment
      • Home Care
      • Oral Hygiene Aids
      • Sealants
    • Dental Prophylaxis (Professional Dental Cleaning)
    • Periodontal Treatment
      • Antibiotic Treatment
      • Bone Grafting for Periodontal Disease
      • Bruxism
      • Crown Lengthening
      • Gum Grafting
      • Gum Recession
      • Oral Cancer Exam
      • Periodontal Scaling & Root Planing
      • Pocket Irrigation
      • Pocket Reduction Surgery
      • Restorative Procedures
      • Ridge Modification
      • Sinus Augmentation
      • Soft Tissue Grafting
    • Periodontal Disease
      • What Is Periodontal Gum Disease
      • Diagnosis
      • Treatment
      • Maintenance
      • Causes Of Periodontal Disease
      • Types Of Periodontal Disease
      • Signs Symptoms Of Periodontal Disease
      • Mouth Body Connection
      • Periodontal Disease And Diabetes
      • Periodontal Disease Heart Disease And Stroke
      • Periodontal Disease And Pregnancy
      • Periodontal Disease And Osteoporosis
      • Periodontal Disease And Respiratory Disease
    • Restorations
      • Amalgam Fillings
      • Crowns Caps
      • Dentures Partial Dentures
      • Fixed Bridges
      • Inlay Restorations
      • Onlay Restorations
    • Endodontics
      • Cracked Tooth
      • Root Amputation
      • Root Canal Retreatment
      • Root Canal Therapy
  • Dental Implants
    • Single Tooth Replacement
    • Multiple Teeth Replacement
    • Full Arch Implant Retained Devices
    • Dental Implants Faqs
  • Cosmetic Dentistry
    • Porcelain Crowns
    • Porcelain Inlays
    • Porcelain Veneers
    • Porcelain Fixed Bridges
    • Porcelain Onlays
    • Teeth Whitening
    • Composite Fillings
  • Patient Info
    • Initial Dentist Appointment
    • Patient Forms
      • New Patient Form
      • Medical History Update
      • 5 Year Medical History Update
      • Covid-19 Patient Screening Form
      • COVID-19 Pandemic Dental Risk Consent
    • Payment Options
    • FAQs
  • Blog
    • News
  • Service Areas
    • Kitchener Ontario
      • Alpine Ontario
      • Bridgeport Ontario
      • Brigadoon Ontario
      • Centreville Ontario
      • Country Hills West Ontario
      • View All Areas
  • Book An Appointment
Covid-19 Patient Screening Form
  • Covid-19 Screening Form

    Sorin Boeriu DDS

    866 Frederick Street
    Kitchener, ON N2B 2B8 Canada
    Phone: (519) 578-7830

  • DD slash MM slash YYYY

  • Factors such as old age, diabetes and end-stage renal disease are generally not considered immunocompromised. Examples of being immunocompromised include individuals:
    • undergoing cancer chemotherapy
    • with untreated HIV infection with CD4 T lymphocyte count less than 200
    • with combined primary immunodeficiency disorder
    • on prednisone medication - more than 20 mg per day (or equivalent) for more than 14 days
    • on other immune suppressive medications.



  • • Fever and/or chills
    • Extreme tiredness Cough or barking cough
    • Sore throat Shortness of breath
    • Runny or stuffy/congested nose Decrease or loss of taste or smell
    • Headache
    • Muscle aches/joint pain
    • Nausea, vomiting and/or diarrhea
    • Abdominal pain
    • Pink eye

    Select “No” if all of these apply:
    • you do not have a fever, and
    • your symptoms have been improving for 24 hours (48 hours if you have nausea, vomiting, and/or diarrhea)


  • Any “yes” response (other than Q1) must be discussed with the managing dentist immediately.

    When you arrive at the office, you will be asked to sanitize your hands.
  • DD slash MM slash YYYY

About Sorin Boeriu DDS

At Kitchener Dentist Frederick we are devoted to restoring and enhancing the natural beauty of your smile using conservative and modern procedures that can result in beautiful, long lasting smiles!

5 star

Kitchener Dentist Office

Kitchener Dentist Frederick
866 Frederick Street
Kitchener, ON N2B 2B8
Canada
(519) 578-7830
[email protected]

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