WE ARE OPEN | Read our COVID-19 Protocols
Orthodontists with parent and child My FASTBRACES® of Houston, TX background


Request Your Consultation
The First One Is Free!

Schedule a consultation with Dr. Majid Mehrinfar to discuss your orthodontic goals or any questions you may have about our process.

Step 1 out of 2 - Patient Screening:

Patient Name:
Pre-Appointment In Office
Date Date
Do you/they have fever or have you/they felt hot/feverish recently (14-21 days)?
Are you or they having shortness of breath or other difficulties breathing?
Do you or they have a cough?
Any other flu-like symptoms such as gastrointestinal upset, headache or fatigue?
Have you or they experienced recent loss of taste/smell?
Are you/they in contact with any confirmed COVID19 positive patients?
Patients who are well but who have a sick family member at home with COVID19 should consider postponing elective treatment.
Is your/their age over 60?
Do you/they have heart disease, lung disease, kidney disease, diabetes or any auto-immune disorders?
Have you or they traveled in the past 14 days to any region affected by COVID19? (as relevant to your location)
Type your full name in CAPITAL letters