Julianne K. Yoshioka-Wong, DDS
Call: (408)374-2745

2024 Covid-19 Screening Form

In order to help protect our staff and patients during this global COVID-19 pandemic, we request that each patient complete this form ONE DAY TO TWO DAYS BEFORE your scheduled appointment. Please do NOT complete this form more than 24-48 hours prior to your appointment.  A new form must be completed for EACH dental visit.

2024 COVID-19 Screening form