Prior making appointment, patients must fill and return our Health
Questioner. We need your cooperation to answer the questioner honestly for
our safety.

1.1 Health Questioner

1. Patient Name?
2. Gender/DOB?
3. Have you travelled overseas for the past 14 days? (Yes/No)
4. If Yes, Please name the country(s)
5. Are you carrying these symptomps(Fever, Sneezing, Body Paints)? (Yes/No)
6. Have you ever been in contact or close to a person with point 3 & 5?

1.2 Term & Conditions

1. We are serving as your approval only, there will be “informed consent form” has to be signed for every single treatment started.
2. Bank noted payment is not accepted
3. All of our staffs have been trained and passed the standard selection.
4. Doctors and  staffs member will be equipped with complete disposable Personal Protection Equipment (PPE), therefore therewill be additional charge for this.
5. Sterilization and protection for patients has been done according to safety protocol of Indonesian Dental Association.
6. Please come diligently and “on time”, due to our effort to arrange physical distancing between patients.
7. The safety of both sides are our priority, but there is no 100% guarantee to break the chain of Covid-19 transmission.

1. For your convenience, you may bring your own glasses, hair cap, or blanket. But if you wish to use ours, clinic provides them as well.
2. Please wash your hands (preferably)or use hand sanitizer before enteringthe clinic area.
3. Wearing mask is mandatory inside the clinic.
4. Please keep your belongings as simple as possible, watch and jewelry should not be worn.
5. Footwear will be decontaminated by spraying alcohol, therefore we expect you to use simple (if possible, rubber-based) footwear.
6. If you are sweating, having temperature above 37.5 degrees, having runny nose or cough, please do not come to the clinic. If that happens, we have the right to refuse to start the dental treatment & discharge the patient.
7. Please come to the clinic only by yourself or and for pediatric patient please only accompany by 1 person to accompany.
8. By coming diligently and on time, you respect our effort to serve you in this condition.

Our SOP 

Use Of Personal  Equipment (PPE) For Corona Virus Disease

The pandemic has highlighted how enhanced environmental cleaning is necessary, therefore we have make sure that all surfaces should first be cleaned and then disinfected including areas throughout the clinic that are often neglected include doorknobs, light switches, computers and phones.

We have removed all items that can not be easily cleaned and disinfected such as magazines, newspaper, and all children’s toys at the kid’s area. 

Also for your convenience, our front officer will  provide each of you a small pack of tissue and a trash bag.