Covid-19 Information



1.       Training and educating our team

·         Our team has been properly trained in hand washing techniques. Although it may seem basic, hand hygiene is the most important measure we can take to prevent the spread of the virus. We have spent a lot of time ensuring that our team does it well and often throughout the day and especially between patients

·         We use the appropriate personal protective equipment (PPE) throughout the day changing between each patient, or as necessary

·         We request that all staff who are not feeling well stay home for at least 2 weeks

·         We have everyone in the office take their temperature and oxygen levels at the beginning of each day and send anyone home with an elevated temperature of 100.4 degrees and above

·         We have been making sure that we keep our amount of staff to a minimum to ensure that we can physical distance safely and effectively

·         We have strict guidelines by which our staff follow and have implemented checklists and procedures to make sure that our whole team arrives to work safely and goes home safely


2.       Recommendations and protocols for our team


Before coming to work

·         Remove any unnecessary accessories such as rings, watches, and necklaces

·         Keep hair tied up and your nails cut short

·         If bringing a lunch, place in disposable wrapping

·         Bring work clothes in washable bag

At Work

·         Change into scrubs and work shoes or shoe covers as soon as you arrive

·         Practice hand hygiene

·         Take temperature and oxygen levels

·         Sanitize phone

·         Leave all personal belongings in your locker

·         Use headset whenever possible and clean frequently

·         Discourage use of any non-essential items such as loose papers, cell phones, or other personal items

After work

·         Wash hands and arms with soap and water

·         Change out of your work clothes and place back into your washable bag

·         Sanitize all personal items such as phones, keys, or anything that left your personal cabinet

·         Wash hands once more with soap and water before leaving office

At home

·         Upon arriving home, immediately remove shoes and clothes

·         Wash your hands

·         Put your clothing in the washing machine with detergent and hot water

·         Shower before touching anything (including loved ones)


3.       Patient interviews and physical distancing

Before patient arrival, every effort is made to:

·         Screen patients for symptoms, beginning with the first phone call when scheduling with care using established and recommended questions

·         Rescheduling any patients who describe having concerning symptoms

·         Ask patients to call and reschedule if they develop any symptoms after having made an appointment

·         Ask patients who have traveled in the last two weeks to reschedule appointment

To promote physical distance

·         Prioritize high risk patients with early morning appointments to make less contact with other people

·         When booking patients, we are spreading out the schedule so only one patient is in the waiting room at a time and we can limit the number of people who enter the office

·         All rooms have been arranged to create as much possibility for physical distance possible

·         We ask patients to call us from the parking lot when they arrive and wait in their car or outside until we are ready to bring them in. We will call them when we are ready to treat them

Safety measures taken upon arrival

·         We have posted visual alerts at the entrance door and throughout the office advising patients of the COVID-19 risk and advising them not to enter the facility when ill. We have a sign in the bathroom on how to practice proper hand hygiene

·         Masks are made available if patient arrives without one

·         Tissues and hand sanitizer are available throughout the office

·         We have waste baskets throughout the office



4.       Measures upon arrival of patients


·         Patients will be immediately being escorted to a hand sanitizing station

·         We sterilize their phones using a UV phone sterilizer

·         Making sure to go over the screening questions once more, the patients are asked to provide any new information of symptoms since the time of making the appointment

·         We take each patients temperature, oxygen levels, pulse, and blood pressure

·         Any patient with a temperature over 100.4 will be asked to leave the office and reschedule their appointment once symptoms subside

·         We ask patients to present payment at the beginning of their visit to better create an efficient flow to the patient visit

·         Once the patient has completed screening and payment, they are escorted to the operatory room

·         The patient will be asked to rinse for one minute with 1.5% hydrogen peroxide before their treatment begins


5.       Measures taken in entry of office  

·         We have removed all magazines and clutter from the waiting room

·         We have moved seating around creating distance between furniture

·         Anything that is not easily disinfected has been removed


6.       Reception Room and Front desk safety measures


·         We ask patients to wait in their car or outside until we are ready for them. This ensures that we only have one patient in the waiting room at a time

·         We have air purification and filtration systems in all areas of the office and operatories

·         We keep windows open allowing fresh air to circulate throughout

·         A dedicated member of our team has been assigned to sanitize all areas that are accessible to touch after every patient (i.e. door handles, counter areas, chairs, and front desk)


7.       Protocols of the clinical team

When hand hygiene is preformed by our staff

·         Before and after all patient

·         Contact with potentially infectious material

·         Before and after applying personal protective equipment (including gloves)


Personal protective equipment (PPE)

·         N95 masks / KN95 masks  

·         Gloves

·         Eye protection / face shield

·         Gown

·         Shoe covers / work only shoes

·         We wear respirators or level three surgical masks during all procedures with a level one mask on top

Eye protection

·         Eye protection is used upon entry to any operatory or any patient contact

·         We use face shields that cover the front and sides of our faces

·         Any reusable eye wear and face shields are washed and disinfected prior to re-use


·         Clean gloves are put on upon entry into the patient care areas

·         Gloves are changed between patients or as needed from possible contamination or if they become torn

·         We always discard gloves when leaving a patient care area and immediately preform hand hygiene


·         Clean gowns are used upon entry into the patient care rooms

·         Gowns are changed any time they become soiled and they are placed into a dedicated container for linens that are washed everyday

·         Gowns are prioritized for aerosol-generating procedures and during activities where splash and sprays are anticipated


8.       Patients in the operatory

·         Health care personnel strictly follow universal infection control practices between patients (i.e. hand hygiene, cleaning and disinfecting shared equipment, regular sanitation practices etc.)

·         We have limited the transport and movement of the patient outside the room

·         No other team member should enter the room during a procedure. If necessary, anyone entering the room must use the proper personal protective equipment as mentioned above

·         Once the patient has left the operatory, the room undergoes appropriate cleaning and surface disinfection before it is returned to further use

·         Special precautions will be taken when performing Aerosol generating procedures

·         High volume evacuation will be used for all aerosol producing procedures


9.       Protocols after the clinical treatment

·         All non-disposable medical equipment used for patient care will be cleaned and sterilized according to OSHA

·         We ensure that environmental cleaning and disinfecting procedures are followed consistently and correctly

·         Routine cleaning and disinfection procedures using SARS-CoV-2 appropriate products are preformed after each patient

·         We also have a mobile, self-contained germicidal fogging device that uses a proven non-toxic, and environmentally friendly disinfectant (Hydrochlorous Acid) which is already used by hotels, airlines, cruise ships, and food industry, in order to eliminate bacteria, viruses, and other pathogens on environmental surfaces (approved by the FDA)


At the end of the day

·         The team will wipe down all surfaces that are heavily touched (i.e. door handles, chairs, counters, and reception area)

·         Fogging of entire front desk, reception, all operatories, bathroom, and common areas will be performed

·         Our commercial cleaning technicians have been instructed and updated on these infection control guidelines


HEPA filtration systems

·         We use HEPA filtration in every room and throughout the office

·         HEPA air filtration has been shown to filter out any airborne particles with a size of 0.3 microns or more

·         The filters installed exchange all the air in the entire office up to 5 times in 1 hour

·         Our AC ducts have UV lights and HEPA filters Merv11




For any further question or concerns, please email us at or call at (415)388-6100 


We encourage you to contact us with any questions or comments you may have.

(415) 388-6100

10 Willow Street, Suite 6
     Mill Valley, CA 94941