COVID19 Protocol

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Have you recently travelled outside of Canada in the past 14 days? *

YES
NO

Have you recently had a test for COVID-19? *

YES
NO

Are you aware /have you had close contact with a person who has been confirmed as having COVID 19, is waiting for a result for COVID-19 or is anyone in your household in self isolation? *

YES
NO

Cough or fever? *

YES
NO

Body chills or aches? *

YES
NO

Loss of smell or taste? *

YES
NO

Sore throat? *

YES
NO

Phone

If you answer “YES” to any of the questions, Kindly call the Clinic prior to booking an appointment.

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